# MFDC OF INDIANA, INC

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

## Provider details

- **NPI number:** 1306727615
- **Authorized official:** JENNIFER PARDUE (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (502) 548-2402

## Contact information

- **Practice address:** 7207 N SHADELAND AVE STE A, INDIANAPOLIS, IN 46250-2881
- **Practice address phone:** (463) 218-3788
- **Mailing address:** PO BOX 437169, LOUISVILLE, KY 40253-7169
- **Mailing address phone:** (463) 218-3788

## Taxonomy

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

## Other

- **Enumeration date:** 09/11/2025
- **Last updated:** 09/11/2025