# CHILDREN'S DENTAL CENTER

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

## Provider details

- **NPI number:** 1306389267
- **Authorized official:** MRS. MICHELLE H EDWARDS DDS (DENTIST)
- **Authorized official phone:** (317) 842-8453

## Contact information

- **Practice address:** 9885 E 116TH ST, STE 100, FISHERS, IN 46037-9241
- **Practice address phone:** (317) 842-8453
- **Practice address fax:** (317) 842-8741
- **Mailing address:** 9885 E 116TH ST, STE 100, FISHERS, IN 46037-9241
- **Mailing address phone:** (317) 842-8453
- **Mailing address fax:** (317) 842-8741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12010350A | IN | Yes |

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 11/28/2016