# CARMEL FAMILY DENTAL LLC

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

## Provider details

- **NPI number:** 1104665330
- **Authorized official:** OPAL ANDERSON (MANAGER)
- **Authorized official phone:** (317) 395-2419

## Contact information

- **Practice address:** 3021 E 98TH ST STE 240, CARMEL, IN 46280-1964
- **Practice address phone:** (317) 395-2419
- **Mailing address:** 33300 WARREN RD STE 29, WESTLAND, MI 48185-9627
- **Mailing address phone:** (317) 401-6216

## Taxonomy

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

## Other

- **Enumeration date:** 05/20/2024
- **Last updated:** 09/13/2024