# INDIAN CREEK FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1043879240
- **Authorized official:** ALLISON STROPES (DENTIST)
- **Authorized official phone:** (812) 597-5857

## Contact information

- **Practice address:** 5938 WEST SR 135, TRAFALGAR, IN 46181
- **Practice address phone:** (812) 597-5857
- **Mailing address:** 5938 WEST SR 135, TRAFALGAR, IN 46181
- **Mailing address phone:** (812) 597-5857

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2019
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12012937A | IN DENTAL LICENSE | IN |
| 01 | — | 1851883334 | NPI TYPE 1 | IN |