# LODS OF SMILES FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1376141168
- **Authorized official:** DR. CRAIG S LODS DDS (DENTIST)
- **Authorized official phone:** (740) 703-6689

## Contact information

- **Practice address:** 110 E YORK ST, ROCKVILLE, IN 47872-1732
- **Practice address phone:** (740) 703-6689
- **Mailing address:** 5101 N BROADWAY AVE, MUNCIE, IN 47303-6300
- **Mailing address phone:** (740) 703-6689

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2020
- **Last updated:** 10/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1326568494 | NPI | IN |