# HAMILTON COUNTY PEDIATRIC DENTISTRY

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

## Provider details

- **NPI number:** 1548697592
- **Authorized official:** DR. LAURA JUNTGEN D.M.D. (PEDIATRIC DENTIST)
- **Authorized official phone:** (317) 965-8850

## Contact information

- **Practice address:** 14948 BEACON BLVD, CARMEL, IN 46032-5050
- **Practice address phone:** (317) 965-8850
- **Mailing address:** 14948 BEACON BLVD, CARMEL, IN 46032-5050
- **Mailing address phone:** (317) 965-8850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12011451A | IN | Yes |

## Other

- **Enumeration date:** 10/06/2013
- **Last updated:** 10/06/2013