Indy Dental Group Fortville, Inc.

NPI #1023896412 in Fortville, Indiana

Provider Information

NPI Number: 1023896412
Entity Type: Organization
Organization Name: Indy Dental Group Fortville, Inc.
Primary Specialty: Dentist
Enumeration Date: Sep 18, 2023
Last Updated: Sep 18, 2023

Practice Location

Address: 727 E BROADWAY ST
City: Fortville
State: Indiana
ZIP Code: 46040-1565
Phone: (317) 399-5513

Authorized Official

Name: NANCY LOCKE
Title: ADMINISTRATOR
Phone: (317) 399-5513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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