# LORIE G BRINSON, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lorie G Brinson, DDS, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205353802
- **Authorized official:** DR. LORIE GOODPASTER BRINSON DDS (PRESIDENT)
- **Authorized official phone:** (317) 228-0195

## Contact information

- **Practice address:** 3934 W 96TH ST STE B, INDIANAPOLIS, IN 46268-2928
- **Practice address phone:** (317) 228-0195
- **Practice address fax:** (317) 228-0246
- **Mailing address:** 3934 W 96TH ST STE B, INDIANAPOLIS, IN 46268-2928
- **Mailing address phone:** (317) 228-0195
- **Mailing address fax:** (317) 228-0246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | 12010346A | IN | Yes |

## Other

- **Enumeration date:** 08/24/2017
- **Last updated:** 07/21/2022