# INDIANA EMERGENCY DENTAL

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

## Provider details

- **NPI number:** 1164201612
- **Authorized official:** DR. EDWARD GREGORY GARRY DMD (OWNER)
- **Authorized official phone:** (317) 979-0079

## Contact information

- **Practice address:** 7015 US 31 STE C, INDIANAPOLIS, IN 46227-8619
- **Practice address phone:** (463) 276-0541
- **Practice address fax:** (463) 276-0542
- **Mailing address:** 3005 OLIVE BRANCH RD, GREENWOOD, IN 46143-8797
- **Mailing address phone:** (317) 979-0078
- **Mailing address fax:** (463) 276-0542

## Taxonomy

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

## Other

- **Enumeration date:** 09/25/2023
- **Last updated:** 10/03/2023