# MANCHESTER FAMILY DENTISTRY, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1316150675
- **Authorized official:** MISS GWEN M METZGER (OFFICE MANAGER)
- **Authorized official phone:** (260) 982-6042

## Contact information

- **Practice address:** 1301 STATE ROAD 13 W, NORTH MANCHESTER, IN 46962-9100
- **Practice address phone:** (260) 982-6042
- **Practice address fax:** (260) 982-6042
- **Mailing address:** 1301 STATE ROAD 13 W, NORTH MANCHESTER, IN 46962-9100
- **Mailing address phone:** (260) 982-6042
- **Mailing address fax:** (260) 982-6042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010752A | IN | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020