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Organization
DENTAL SAFARI CO INDIANA, LLC
Active
Organization
DENTAL SAFARI CO INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ANN MORLEY D.M.D. (OWNER/PRESIDENT)
(618) 559-6654
Entity
Organization
Contact information
Practice address
1634 E NORTHFIELD DR., STE 500, BROWNSBURG, IN 46112
(618) 993-8333
(618) 993-8335
Mailing address
P.O. BOX 2314, CARBONDALE, IL 62902
(618) 993-8333
(618) 993-8335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201382420A
—
IN
Enumeration date
08/18/2016
Last updated
03/19/2025
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