# MONTPELIER FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1194235036
- **Authorized official:** RICHARD EVANSECK DDS (DENTIST)
- **Authorized official phone:** (765) 728-2811

## Contact information

- **Practice address:** 108 N MAIN ST, MONTPELIER, IN 47359-1132
- **Practice address phone:** (765) 728-2811
- **Mailing address:** 108 N MAIN ST, MONTPELIER, IN 47359-1132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2017
- **Last updated:** 10/05/2017