# AFFINITY DENTAL AVON LLC

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

## Provider details

- **NPI number:** 1174464440
- **Authorized official:** SRINIVAS DURSHANAPALLI DDS (PRESIDENT)
- **Authorized official phone:** (888) 244-8899

## Contact information

- **Practice address:** 110B N AVON AVE, AVON, IN 46123-8475
- **Practice address phone:** (317) 898-3333
- **Practice address fax:** (317) 960-5333
- **Mailing address:** 110B N AVON AVE, AVON, IN 46123-8475
- **Mailing address phone:** (317) 898-3333
- **Mailing address fax:** (317) 960-5333

## Taxonomy

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

## Other

- **Enumeration date:** 04/02/2026
- **Last updated:** 04/02/2026