# MIDWEST ENDODONTICS LLC

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

## Provider details

- **NPI number:** 1467600478
- **Authorized official:** BRENT R GRAFE D.D.S. (PRESIDENT)
- **Authorized official phone:** (812) 476-8000

## Contact information

- **Practice address:** 2709 WASHINGTON AVE, SUITE 1, EVANSVILLE, IN 47714-2411
- **Practice address phone:** (812) 476-8000
- **Practice address fax:** (812) 471-3901
- **Mailing address:** 2709 WASHINGTON AVE, SUITE 1, EVANSVILLE, IN 47714-2411
- **Mailing address phone:** (812) 476-8000
- **Mailing address fax:** (812) 471-3901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 09/03/2008