# PITTSBORO FAMILY DENTISTRY CAMPBELL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pittsboro Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649070699
- **Authorized official:** TENNILLE SPENCE (REGIONAL OPERATIONS SUPERVISOR)
- **Authorized official phone:** (317) 370-1158

## Contact information

- **Practice address:** 204 N MAPLE ST, PITTSBORO, IN 46167-9164
- **Practice address phone:** (706) 346-7944
- **Mailing address:** 954 BERKHAMSTED LN, CARMEL, IN 46032-3683
- **Mailing address phone:** (706) 346-7944

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2025
- **Last updated:** 03/18/2025