Provider Demographics
NPI:1487547816
Name:NEW CASTLE DENTAL
Entity type:Organization
Organization Name:NEW CASTLE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:765-521-0301
Mailing Address - Street 1:1702 S SPICELAND RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-9101
Mailing Address - Country:US
Mailing Address - Phone:765-521-0301
Mailing Address - Fax:765-521-0314
Practice Address - Street 1:1702 S SPICELAND RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-9101
Practice Address - Country:US
Practice Address - Phone:765-521-0301
Practice Address - Fax:765-521-0314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1710087044Medicaid