# INDY DENTAL GROUP WF, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INDY DENTAL GROUP WESTFIELD, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306998315
- **Authorized official:** DR. ELIZABETH B LEWIS DDS (OWNER)
- **Authorized official phone:** (317) 867-5400

## Contact information

- **Practice address:** 16407 SOUTHPARK DR, SUITE B, WESTFIELD, IN 46074-8472
- **Practice address phone:** (317) 867-5400
- **Practice address fax:** (317) 867-5477
- **Mailing address:** 16407 SOUTHPARK DR, SUITE B, WESTFIELD, IN 46074-8472
- **Mailing address phone:** (317) 867-5400
- **Mailing address fax:** (317) 867-5477

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 01/01/2014