# MERIDIAN DENTAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023316155
- **Authorized official:** DR. STEPHEN A TRAGER DDS (OWNER)
- **Authorized official phone:** (317) 926-5467

## Contact information

- **Practice address:** 2291 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5727
- **Practice address phone:** (317) 926-5467
- **Practice address fax:** (317) 926-6022
- **Mailing address:** 2291 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5727
- **Mailing address phone:** (317) 926-5467
- **Mailing address fax:** (317) 926-6022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010793A | IN | Yes |

## Other

- **Enumeration date:** 03/15/2011
- **Last updated:** 03/15/2011