# ONE FAMILY DENTAL WARREN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ONE FAMILY DENTAL
- **Other names:** One Family Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013614940
- **Legal business name:** ONE FAMILY DENTAL
- **Authorized official:** MR. SUDHAKAR SANTHANA KRISHNAN (CEO)
- **Authorized official phone:** (260) 750-0418

## Contact information

- **Practice address:** 1260 N POST RD STE A, INDIANAPOLIS, IN 46219-4250
- **Practice address phone:** (260) 750-0418
- **Mailing address:** 10404 ANTELOPE CT, FORT WAYNE, IN 46804-4909
- **Mailing address phone:** (260) 750-0418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2023
- **Last updated:** 02/10/2023