OrganizationActive
A L Dehaven DDS LLC
NPI 1003210204 · Dentist · Scottsburg, IN
Provider details
- NPI number
- 1003210204
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Angela Dehaven, Owner(765) 623-6751
- License
- 12009405 (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1366 N Gardner St
Box 330
Scottsburg, IN 47170-7793
Phone: (812) 752-3524
Fax: (812) 752-9195
Approximate (ZIP-level) locationGet directions
Mailing address
3225 Nichol Ave
Anderson, IN 46011-3148
Registry dates
- Enumerated
- 2014-10-16
- Last updated
- 2014-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.