# INDY DENTAL GROUP WESTFIELD

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

## Provider details

- **NPI number:** 1306916069
- **Authorized official:** ELIZABETH B LEWIS DDS (OWNER)
- **Authorized official phone:** (317) 571-1900

## Contact information

- **Practice address:** 16407 SOUTHPARK DR, WESTFIELD, IN 46074-8472
- **Practice address phone:** (317) 571-1900
- **Mailing address:** 16407 SOUTHPARK DR, WESTFIELD, IN 46074-8472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009479 | IN | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 08/22/2020