# INDY DENTAL GROUP WC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JACK M. & ELIZABETH B. MILLER, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568557338
- **Authorized official:** DR. ELZABETH B LEWIS DDS (OWNER)
- **Authorized official phone:** (317) 571-1900

## Contact information

- **Practice address:** 12720 MEETING HOUSE RD, CARMEL, IN 46032-7334
- **Practice address phone:** (317) 571-1900
- **Practice address fax:** (317) 569-9695
- **Mailing address:** 12720 MEETING HOUSE RD, CARMEL, IN 46032-7334
- **Mailing address phone:** (317) 571-1900
- **Mailing address fax:** (317) 569-9695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009479 | IN | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 01/01/2014