# DETAIL DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Detail Dental, Detail Dental, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336792977
- **Authorized official:** CHRIS CHRISLER DDS (OWNER)
- **Authorized official phone:** (617) 617-9644

## Contact information

- **Practice address:** 1030 COUNTRY CLUB RD, INDIANAPOLIS, IN 46234-1813
- **Practice address phone:** (617) 271-1486
- **Mailing address:** 1030 COUNTRY CLUB RD, INDIANAPOLIS, IN 46234-1813

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2019
- **Last updated:** 11/20/2019