# ALYSSA B STICKLEY DDS, LLC

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

## Provider details

- **NPI number:** 1013668433
- **Authorized official:** ALYSSA STICKLEY DDS (MANAGING MEMBER)
- **Authorized official phone:** (317) 850-2160

## Contact information

- **Practice address:** 23 S COUNTY ROAD 200 E, DANVILLE, IN 46122-9317
- **Practice address phone:** (317) 850-2160
- **Mailing address:** 635 SUGARBUSH DR, ZIONSVILLE, IN 46077-1908
- **Mailing address phone:** (317) 850-2160

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2022
- **Last updated:** 01/18/2022