# CVILLE DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Canal Dentistry of Crawfordsville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639870363
- **Authorized official:** MARK SANFORD DDS (MEMBER)
- **Authorized official phone:** (317) 491-5095

## Contact information

- **Practice address:** 1950 INDIANAPOLIS RD, CRAWFORDSVILLE, IN 47933-3135
- **Practice address phone:** (765) 364-1740
- **Mailing address:** 1950 INDIANAPOLIS RD, CRAWFORDSVILLE, IN 47933-3135
- **Mailing address phone:** (765) 364-1740

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2023
- **Last updated:** 01/07/2025