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General NPI Number Information
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NPI Number | 1639039977
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Entity Type | Organization
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Legal Business Name | DENTAL PARTNERS OF INDIANA
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 108 N OAK ST
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933-1950
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Country | US
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Telephone | 765-362-5437
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 773437
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City | DETROIT
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State | MI
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Zip | 48277-3140
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Country | US
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Telephone | 586-752-3504
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AARON HAVENS
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Credential | DMD
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Telephone | 586-752-3504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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