# GENERATIONS IN DENTISTRY PC

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

## Provider details

- **NPI number:** 1447415294
- **Authorized official:** DR. KYLE D HEFLIN DDS (DENTIST PRESIDENT)
- **Authorized official phone:** (317) 573-4000

## Contact information

- **Practice address:** 13331 ILLINOIS ST, CARMEL, IN 46032-3018
- **Practice address phone:** (317) 573-4000
- **Practice address fax:** (317) 573-4000
- **Mailing address:** 13331 ILLINOIS ST, CARMEL, IN 46032-3018
- **Mailing address phone:** (317) 573-4000
- **Mailing address fax:** (317) 573-4118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12008323A | IN | Yes |
| 122300000X | Dentist | 120104078 | IN | — |

## Other

- **Enumeration date:** 07/22/2008
- **Last updated:** 07/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100389930 | — | IN |
| 01 | — | 1215041231 | NPI | IN |
| 01 | — | 1922112945 | NPI | IN |