# XU FAMILY DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Xu Sleep Clinic, Care Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689165672
- **Authorized official:** DR. HAIFENG XU DDS, PHD (DENTIST/OWNER)
- **Authorized official phone:** (317) 602-4898

## Contact information

- **Practice address:** 828 FORT WAYNE AVE, INDIANAPOLIS, IN 46204-1309
- **Practice address phone:** (317) 602-4898
- **Practice address fax:** (317) 559-7159
- **Mailing address:** 14536 STONEGATE CT, CARMEL, IN 46032-9132
- **Mailing address phone:** (317) 602-4898
- **Mailing address fax:** (317) 559-7159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 05/24/2018
- **Last updated:** 08/31/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201283020 | — | IN |
