# YORKTOWN DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yorktown Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003241076
- **Authorized official:** DR. DELAYNE M LEFEVRE DDS (MANAGING MEMBER PARTNER)
- **Authorized official phone:** (765) 759-2273

## Contact information

- **Practice address:** 2001 S TIGER DR, YORKTOWN, IN 47396-9385
- **Practice address phone:** (765) 759-2273
- **Mailing address:** 2001 S TIGER DR, YORKTOWN, IN 47396-9385
- **Mailing address phone:** (765) 759-2273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2013
- **Last updated:** 09/10/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200441630A | — | IN |
