# ROCHESTER FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1649769159
- **Authorized official:** ANNE SY DDS (OWNER)
- **Authorized official phone:** (520) 907-9383

## Contact information

- **Practice address:** 1014 MADISON ST, ROCHESTER, IN 46975-1830
- **Practice address phone:** (520) 907-9383
- **Mailing address:** 2209 POETS DR, ROCHESTER, IN 46975-9011
- **Mailing address phone:** (520) 907-9383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12011491A | IN | Yes |

## Other

- **Enumeration date:** 05/10/2018
- **Last updated:** 05/10/2018