# KB DENTAL 2

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

## Provider details

- **NPI number:** 1467991570
- **Authorized official:** MS. ASHLEY R COAD (OFFICE MANAGER)
- **Authorized official phone:** (317) 570-5480

## Contact information

- **Practice address:** 13590B N MERIDIAN ST, CARMEL, IN 46032-1406
- **Practice address phone:** (317) 570-5480
- **Practice address fax:** (317) 570-5481
- **Mailing address:** 7340 CROSSING PL, SUITE 200, FISHERS, IN 46038-2708
- **Mailing address phone:** (317) 570-5480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | IN | Yes |

## Other

- **Enumeration date:** 02/22/2017
- **Last updated:** 02/22/2017