OrganizationActive
Eastern Indiana Pediatric Dentistry, LLC
NPI 1760616114 · Pediatric Dentistry · Connersville, IN
Provider details
- NPI number
- 1760616114
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Authorized official
- Charles Poland, Member
- License
- 12006522B (IN)
Mailing address
1840 Summerlakes Ct
Carmel, IN 46032-9392
Registry dates
- Enumerated
- 2009-05-13
- Last updated
- 2009-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.