# INDY DENTAL GROUP SLEEP, LLC

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

## Provider details

- **NPI number:** 1568172864
- **Authorized official:** ELIZABETH B LEWIS DDS (VICE PRESIDENT)
- **Authorized official phone:** (317) 695-1218

## Contact information

- **Practice address:** 322 W. MAIN ST, WESTFIELD, IN 46074
- **Practice address phone:** (317) 399-5513
- **Mailing address:** 322 W MAIN ST, WESTFIELD, IN 46074
- **Mailing address phone:** (317) 399-5513

## Taxonomy

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

## Other

- **Enumeration date:** 11/29/2022
- **Last updated:** 11/29/2022