# DYER FAMILY DENTAL INC.

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

## Provider details

- **NPI number:** 1629508734
- **Authorized official:** KEVIN LLOYD FATLAND DMD (DENTIST/PRESIDENT)
- **Authorized official phone:** (708) 839-8662

## Contact information

- **Practice address:** 890 RICHARD RD, DYER, IN 46311-1779
- **Practice address phone:** (708) 869-8662
- **Mailing address:** 7855 PINEVIEW LN, FRANKFORT, IL 60423-9004
- **Mailing address phone:** (708) 839-8662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 19025070 | — | Yes |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 06/13/2017