# MAUPIN FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Saratoga Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154656775
- **Authorized official:** DR. HEATHER ANN MAUPIN DDS (PRESIDENT)
- **Authorized official phone:** (317) 838-7100

## Contact information

- **Practice address:** 1070 WEST MAIN STREET SUITE 151, PLAINFIELD, IN 46168-9704
- **Practice address phone:** (317) 838-7100
- **Practice address fax:** (317) 885-0417
- **Mailing address:** 4877 MYRTLE LN, GREENWOOD, IN 46142-9200
- **Mailing address phone:** (317) 340-3804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010749A | IN | Yes |

## Other

- **Enumeration date:** 10/15/2009
- **Last updated:** 10/15/2009
