# LAURA BRACKEN DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Columbus Family Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255221545
- **Authorized official:** JERRY M BRACKEN (OFFICE MANAGER)
- **Authorized official phone:** (812) 373-9912

## Contact information

- **Practice address:** 2526 CENTRAL AVE, COLUMBUS, IN 47201-3121
- **Practice address phone:** (812) 373-9912
- **Practice address fax:** (812) 373-9920
- **Mailing address:** 2526 CENTRAL AVE, COLUMBUS, IN 47201-3121
- **Mailing address phone:** (812) 373-9912
- **Mailing address fax:** (812) 373-9920

## Taxonomy

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

## Other

- **Enumeration date:** 07/08/2025
- **Last updated:** 07/08/2025