# AFFINITY DENTAL MUNCIE LLC

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

## Provider details

- **NPI number:** 1023900636
- **Authorized official:** SRINIVAS DURSHANAPALLI DDS (PRESIDENT)
- **Authorized official phone:** (888) 244-8899

## Contact information

- **Practice address:** 200 E MCGALLIARD RD, MUNCIE, IN 47303-2009
- **Practice address phone:** (765) 254-1706
- **Practice address fax:** (765) 254-1709
- **Mailing address:** 200 E MCGALLIARD RD, MUNCIE, IN 47303-2009
- **Mailing address phone:** (765) 254-1706
- **Mailing address fax:** (765) 254-1709

## Taxonomy

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

## Other

- **Enumeration date:** 07/17/2025
- **Last updated:** 07/17/2025