# PENCE FAMILY DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1457025785
- **Authorized official:** OREY PENCE DDS (PRESIDENT)
- **Authorized official phone:** (317) 752-6087

## Contact information

- **Practice address:** 9744 LANTERN RD, FISHERS, IN 46037-9612
- **Practice address phone:** (317) 842-2337
- **Mailing address:** 9744 LANTERN RD, FISHERS, IN 46037-9612
- **Mailing address phone:** (317) 842-2337

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2021
- **Last updated:** 08/02/2021