Provider Demographics
NPI:1992811533
Name:WESTFIELD DENTAL CARE
Entity type:Organization
Organization Name:WESTFIELD DENTAL CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CLAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-896-8734
Mailing Address - Street 1:17419 CAREY RD STE B
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-9439
Mailing Address - Country:US
Mailing Address - Phone:317-896-8734
Mailing Address - Fax:317-896-9343
Practice Address - Street 1:17419 CAREY RD STE B
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-9439
Practice Address - Country:US
Practice Address - Phone:317-896-8734
Practice Address - Fax:317-896-9343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty