# PLAINFIELD FAMILY DENTAL INC

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

## Provider details

- **NPI number:** 1255443917
- **Authorized official:** MR. TIMOTHY JON WILLIAMS D.D.S. (OWNER/PRESIDENT)
- **Authorized official phone:** (317) 839-8684

## Contact information

- **Practice address:** 1620 HAWTHORNE DR, STE 100, PLAINFIELD, IN 46168
- **Practice address phone:** (317) 839-8684
- **Practice address fax:** (317) 839-5864
- **Mailing address:** 1620 HAWTHORNE DR, STE 100, PLAINFIELD, IN 46168
- **Mailing address phone:** (317) 839-8684
- **Mailing address fax:** (317) 839-5864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1200-9590 | IN | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020