# JILLIAN C. BRADY, DDS, LLC

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

## Provider details

- **NPI number:** 1033746136
- **Authorized official:** DR. JILLIAN CHRISTINE BRADY DDS (DENTIST)
- **Authorized official phone:** (317) 889-6000

## Contact information

- **Practice address:** 5150 E STOP 11 RD STE 11, INDIANAPOLIS, IN 46237-8629
- **Practice address phone:** (317) 889-6000
- **Mailing address:** 5150 E STOP 11 RD STE 11, INDIANAPOLIS, IN 46237-8629
- **Mailing address phone:** (317) 889-6000

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2020
- **Last updated:** 03/26/2020