# OCFD MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1194072330
- **Authorized official:** DR. MICHAEL KENT VAN EMON DDS (PRESIDENT)
- **Authorized official phone:** (812) 723-3959

## Contact information

- **Practice address:** 1570 W HOSPITAL RD, PAOLI, IN 47454-9666
- **Practice address phone:** (812) 723-3959
- **Practice address fax:** (812) 723-3909
- **Mailing address:** 1570 W HOSPITAL RD, PAOLI, IN 47454-9666
- **Mailing address phone:** (812) 723-3959
- **Mailing address fax:** (812) 723-3909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12007674A | IN | Yes |
| 1223G0001X | General Practice Dentistry | 12010908A | IN | — |

## Other

- **Enumeration date:** 08/07/2012
- **Last updated:** 08/07/2012