# DENTAL SAFARI CO INDIANA, LLC

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

## Provider details

- **NPI number:** 1669927786
- **Authorized official:** DR. MELISSA ANN MORLEY D.M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (618) 559-6654

## Contact information

- **Practice address:** 1634 E NORTHFIELD DR., STE 500, BROWNSBURG, IN 46112
- **Practice address phone:** (618) 993-8333
- **Practice address fax:** (618) 993-8335
- **Mailing address:** P.O. BOX 2314, CARBONDALE, IL 62902
- **Mailing address phone:** (618) 993-8333
- **Mailing address fax:** (618) 993-8335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2016
- **Last updated:** 03/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201382420A | — | IN |