# MFDC OF INDIANA, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** West 10th Dental Group GP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205641834
- **Authorized official:** JENNIFER PARDUE (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (502) 548-2402

## Contact information

- **Practice address:** 6443 W 10TH ST STE 204, INDIANAPOLIS, IN 46214-6502
- **Practice address phone:** (317) 754-8486
- **Mailing address:** PO BOX 437169, LOUISVILLE, KY 40253-7169
- **Mailing address phone:** (502) 254-8500

## Taxonomy

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

## Other

- **Enumeration date:** 02/11/2025
- **Last updated:** 02/11/2025