# EGR DENTAL MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Keystone Family Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548736846
- **Authorized official:** DR. EVAN ROBBINS DDS (OWNER/DENTIST)
- **Authorized official phone:** (317) 252-5480

## Contact information

- **Practice address:** 5426 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-3456
- **Practice address phone:** (317) 252-5480
- **Practice address fax:** (317) 252-5482
- **Mailing address:** 5426 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-3456
- **Mailing address phone:** (317) 252-5480
- **Mailing address fax:** (317) 252-5482

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 10/15/2018