# ROYALE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1174530950
- **Authorized official:** DR. JEANINE MARIE GREEN D.D.S. (OWNER)
- **Authorized official phone:** (765) 289-1578

## Contact information

- **Practice address:** 1804 W ROYALE DR, MUNCIE, IN 47304-2243
- **Practice address phone:** (765) 289-1578
- **Practice address fax:** (765) 289-7901
- **Mailing address:** 1804 W ROYALE DR, MUNCIE, IN 47304-2243
- **Mailing address phone:** (765) 289-1578
- **Mailing address fax:** (765) 289-7901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1200-6019 | IN | — |
| 1223G0001X | General Practice Dentistry | 1200-9865 | IN | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 08/22/2020