# MOBILE SMILES P.A. LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smiles Express
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417403718
- **Authorized official:** HEATHER KEITH (OFFICE MANAGER)
- **Authorized official phone:** (317) 759-1020

## Contact information

- **Practice address:** 5868 E. 71ST ST, INDIANAPOLIS, IN 46220-4002
- **Practice address phone:** (317) 759-1020
- **Mailing address:** 5868 E 71ST ST, INDIANAPOLIS, IN 46220-4075
- **Mailing address phone:** (317) 759-1020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009992 | IN | Yes |

## Other

- **Enumeration date:** 08/28/2016
- **Last updated:** 08/28/2016