# BROWNSBURG DENTAL GROUP PC

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

## Provider details

- **NPI number:** 1316051600
- **Authorized official:** DR. GARY FRIEDMAN DDS (OWNER PRESIDENT)
- **Authorized official phone:** (317) 852-1446

## Contact information

- **Practice address:** 20 E AIRPORT RD, SUITE 1100, BROWNSBURG, IN 46112-2046
- **Practice address phone:** (317) 852-1446
- **Practice address fax:** (317) 852-1449
- **Mailing address:** 20 E AIRPORT RD, SUITE 1100, BROWNSBURG, IN 46112-2046
- **Mailing address phone:** (317) 852-1446
- **Mailing address fax:** (317) 852-1449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009280 | IN | — |
| 122300000X | Dentist | 12010164A | IN | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 09/06/2007
