# RED BIRD DENTAL LLC

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

## Provider details

- **NPI number:** 1033686142
- **Authorized official:** TERRY MCCOOE DDS (PRESIDENT)
- **Authorized official phone:** (949) 305-2253

## Contact information

- **Practice address:** 839 S DELAWARE ST, INDIANAPOLIS, IN 46225-1782
- **Practice address phone:** (949) 305-2253
- **Mailing address:** 85 ARGONAUT STE 220, ALISO VIEJO, CA 92656-4105
- **Mailing address phone:** (949) 305-2253

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2018
- **Last updated:** 10/26/2018