Provider Demographics
NPI:1255648788
Name:A DENTAL TOUCH LLC
Entity type:Organization
Organization Name:A DENTAL TOUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRONT OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIRUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-883-3368
Mailing Address - Street 1:973 EMERSON PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-6907
Mailing Address - Country:US
Mailing Address - Phone:317-883-3368
Mailing Address - Fax:317-883-3120
Practice Address - Street 1:973 EMERSON PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-6906
Practice Address - Country:US
Practice Address - Phone:317-883-3368
Practice Address - Fax:317-883-3120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010147A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty