96th Street Family Dentistry LLC

NPI #1124735782 in Fishers, Indiana

Provider Information

NPI Number: 1124735782
Entity Type: Organization
Organization Name: 96th Street Family Dentistry LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 3, 2022
Last Updated: Nov 3, 2022

Practice Location

Address: 7862 E 96TH ST
City: Fishers
State: Indiana
ZIP Code: 46037-9629
Phone: (317) 576-9393

Authorized Official

Name: MEGAN MUNCHEL
Title: REGIONAL MANAGER
Phone: (765) 529-7616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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