Fishers Family Dental, LLC

NPI #1366088056 in Fishers, Indiana

Provider Information

NPI Number: 1366088056
Entity Type: Organization
Organization Name: Fishers Family Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 18, 2019
Last Updated: Nov 18, 2019

Practice Location

Address: 9865 E 116TH ST STE 100
City: Fishers
State: Indiana
ZIP Code: 46037-9237
Phone: (317) 570-5480

Authorized Official

Name: ASHLEY COAD
Title: CREDENTIALING SPECIALIST
Phone: (317) 570-5480

Specialties & Taxonomy Codes

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

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