# DOWNTOWN DENTAL LAFAYETTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Downtown Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558997437
- **Authorized official:** DR. JAMES LUTZ DDS (MEMBER)
- **Authorized official phone:** (765) 543-8082

## Contact information

- **Practice address:** 676 MAIN ST, LAFAYETTE, IN 47901-1451
- **Practice address phone:** (765) 543-8082
- **Mailing address:** 676 MAIN ST, LAFAYETTE, IN 47901-1451

## Taxonomy

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

## Other

- **Enumeration date:** 03/23/2020
- **Last updated:** 03/23/2020