# MFDC OF INDIANA, INC

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

## Provider details

- **NPI number:** 1093529877
- **Authorized official:** JEFFREY REIBEL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (502) 254-8526

## Contact information

- **Practice address:** 94 S TENNESSEE ST, DANVILLE, IN 46122-1836
- **Practice address phone:** (317) 754-8571
- **Mailing address:** PO BOX 437169, LOUISVILLE, KY 40253-7169
- **Mailing address phone:** (502) 254-8500

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2025
- **Last updated:** 02/03/2025