# TRANSFORMATIVE FAMILY DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1396486791
- **Authorized official:** DR. KYLE LAWRENCE RATLIFF DDS (OWNER/DENTIST)
- **Authorized official phone:** (812) 207-1090

## Contact information

- **Practice address:** 7301 GEORGETOWN RD STE 113, INDIANAPOLIS, IN 46268-4157
- **Practice address phone:** (812) 207-1090
- **Mailing address:** 814 E RAYMOND ST, INDIANAPOLIS, IN 46203-3969
- **Mailing address phone:** (812) 207-1090

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2022
- **Last updated:** 04/07/2022