# FISHERS DENTAL CARE, P.C.

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

## Provider details

- **NPI number:** 1316031743
- **Authorized official:** DR. KEVIN D WARD D.D.S. (OWNER)
- **Authorized official phone:** (317) 577-1911

## Contact information

- **Practice address:** 11959 LAKESIDE DRIVE, FISHERS, IN 46038-1316
- **Practice address phone:** (317) 577-1911
- **Practice address fax:** (317) 576-8070
- **Mailing address:** 11959 LAKESIDE DRIVE, FISHERS, IN 46038-1316
- **Mailing address phone:** (317) 577-1911
- **Mailing address fax:** (317) 576-8070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12008832 | IN | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020