# KNIGHTSTOWN FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1235776022
- **Authorized official:** DR. AMY MEYER PLOEGER DDS (OWNER)
- **Authorized official phone:** (765) 561-2035

## Contact information

- **Practice address:** 8788 S STATE ROAD 109, KNIGHTSTOWN, IN 46148-9592
- **Practice address phone:** (765) 345-2188
- **Mailing address:** 2891 E 450 S, RUSHVILLE, IN 46173-9727
- **Mailing address phone:** (765) 561-2035

## Taxonomy

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

## Other

- **Enumeration date:** 11/29/2019
- **Last updated:** 01/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12009979 | STATE LICENSE | IN |
| 01 | — | 1578637872 | NPI | IN |
