# SALEM FAMILY DENTAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1437669967
- **Authorized official:** DR. TRICIA K WHEELER DMD (SOLE MEMBER)
- **Authorized official phone:** (812) 883-5804

## Contact information

- **Practice address:** 100 N HARRISON ST, SALEM, IN 47167-1426
- **Practice address phone:** (812) 883-5804
- **Practice address fax:** (812) 883-0603
- **Mailing address:** 2126 N STATE ROAD 135, SALEM, IN 47167-6005
- **Mailing address phone:** (821) 620-1633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12010386 | IN | Yes |

## Other

- **Enumeration date:** 10/11/2017
- **Last updated:** 10/11/2017