Provider Demographics
NPI:1003707985
Name:TELL CITY FAMILY DENTISTRY, LLC
Entity type:Organization
Organization Name:TELL CITY FAMILY DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HILGENHOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:812-548-8988
Mailing Address - Street 1:13734 OLD STATE ROAD 37
Mailing Address - Street 2:
Mailing Address - City:TELL CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47586-8613
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:740 9TH ST
Practice Address - Street 2:
Practice Address - City:TELL CITY
Practice Address - State:IN
Practice Address - Zip Code:47586-1711
Practice Address - Country:US
Practice Address - Phone:812-547-2876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental