# INDY DENTAL HEALTH, LLC

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

## Provider details

- **NPI number:** 1710334131
- **Authorized official:** DR. MATTHEW FRAIZ DMD (DENTIST)
- **Authorized official phone:** (317) 872-3465

## Contact information

- **Practice address:** 9002 N MERIDIAN ST STE 210, INDIANAPOLIS, IN 46260-5350
- **Practice address phone:** (317) 872-3465
- **Practice address fax:** (317) 872-4340
- **Mailing address:** 9002 N MERIDIAN ST STE 210, INDIANAPOLIS, IN 46260-5350
- **Mailing address phone:** (317) 872-3465
- **Mailing address fax:** (317) 872-4340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011331C | IN | — |
| 122300000X | Dentist | 12011779A | IN | Yes |

## Other

- **Enumeration date:** 05/16/2016
- **Last updated:** 05/16/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1134351091 | — | IN |
| 05 | — | 1740578491 | — | IN |