# JET DENTAL OF INDIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JET MANAGEMENT SERVICES, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235003385
- **Legal business name:** JET MANAGEMENT SERVICES, LLC
- **Authorized official:** BRIAN DANIELEWICZ (OWNER)
- **Authorized official phone:** (847) 240-1477

## Contact information

- **Practice address:** 1005 E LASALLE AVE STE 1A, SOUTH BEND, IN 46617-2818
- **Practice address phone:** (801) 430-9262
- **Mailing address:** 1005 E LASALLE AVE STE 1A, SOUTH BEND, IN 46617-2818
- **Mailing address phone:** (801) 430-9262

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2025
- **Last updated:** 10/01/2025