# LEFEVRE DENTISTRY, INC

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

## Provider details

- **NPI number:** 1508175928
- **Authorized official:** DR. DELAYNE MARIE LEFEVRE D.D.S. (PRESIDENT)
- **Authorized official phone:** (317) 867-3335

## Contact information

- **Practice address:** 5520 PEBBLE VILLAGE LN, SUITE 200, NOBLESVILLE, IN 46062-7423
- **Practice address phone:** (317) 867-3335
- **Practice address fax:** (317) 867-3337
- **Mailing address:** 5520 PEBBLE VILLAGE LN, SUITE 200, NOBLESVILLE, IN 46062-7423
- **Mailing address phone:** (317) 867-3335
- **Mailing address fax:** (317) 867-3337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 10831 | IN | Yes |

## Other

- **Enumeration date:** 10/04/2010
- **Last updated:** 10/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200870170 A | — | IN |