# BATH FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1265944938
- **Authorized official:** GAGANDEEP K BATH DDS,MSD (DENTIST/OWNER)
- **Authorized official phone:** (317) 987-5603

## Contact information

- **Practice address:** 3410 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46224-1742
- **Practice address phone:** (317) 987-5603
- **Mailing address:** 3410 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46224-1742
- **Mailing address phone:** (317) 987-5603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12012382A | IN | Yes |

## Other

- **Enumeration date:** 11/02/2017
- **Last updated:** 06/16/2018