# SEYMOUR FAMILY DENTISTRY, INC.

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

## Provider details

- **NPI number:** 1255418091
- **Authorized official:** TIFFINY L MANSFIELD (SECRETARY)
- **Authorized official phone:** (812) 523-4545

## Contact information

- **Practice address:** 201 W TIPTON ST, SEYMOUR, IN 47274-2345
- **Practice address phone:** (812) 523-4545
- **Practice address fax:** (812) 523-4546
- **Mailing address:** 201 W TIPTON ST, SEYMOUR, IN 47274-2345
- **Mailing address phone:** (812) 523-4545
- **Mailing address fax:** (812) 523-4546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010240A | IN | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020