# LOPP FAMILY DENTAL PC

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

## Provider details

- **NPI number:** 1417649682
- **Authorized official:** MACKENZIE LOPP DMD (VICE PRESIDENT)
- **Authorized official phone:** (765) 414-4600

## Contact information

- **Practice address:** 803 S PRAIRIE ST, BROOKSTON, IN 47923-8410
- **Practice address phone:** (765) 563-6667
- **Mailing address:** PO BOX 158, BROOKSTON, IN 47923-0158
- **Mailing address phone:** (765) 563-6667

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2023
- **Last updated:** 05/24/2023