# GOAD FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1104411982
- **Authorized official:** BLAKE WESTRA DMD (OWNER)
- **Authorized official phone:** (217) 348-7770

## Contact information

- **Practice address:** 6904 S EAST ST STE F, INDIANAPOLIS, IN 46227-2694
- **Practice address phone:** (317) 788-4239
- **Mailing address:** 522 E JASPER ST, PARIS, IL 61944-2437
- **Mailing address phone:** (217) 463-4110

## Taxonomy

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

## Other

- **Enumeration date:** 03/04/2021
- **Last updated:** 03/04/2021