# LIFETIME DENTAL CARE OF INDIANA, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Crossing Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205049525
- **Authorized official:** AMY KROEGER (INS COOD)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 8190 WINDFALL LANE, SUITE A, CAMBY, IN 46113
- **Practice address phone:** (317) 821-0400
- **Practice address fax:** (317) 821-0402
- **Mailing address:** 8190 WINDFALL LANE, SUITE A, CAMBY, IN 46113
- **Mailing address phone:** (317) 821-0400
- **Mailing address fax:** (317) 821-0402

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020