Mooresville Family Dentistry
NPI #1518025048 in Mooresville, Indiana
Provider Information
- NPI Number
- 1518025048
- Entity Type
- Organization
- Organization Name
- Mooresville Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 565 S STATE ROAD 67
- City
- Mooresville
- State
- Indiana
- ZIP Code
- 46158-2792
- Phone
- (317) 831-6000
Authorized Official
- Name
- LISA MEDENWALD
- Title
- OFFICE MANAGER
- Phone
- (317) 831-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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