# DENTISTRY FOR CHILDREN OF INDIANA, LLC

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

## Provider details

- **NPI number:** 1720543564
- **Authorized official:** TAMONIA LEONARD (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (678) 244-4844

## Contact information

- **Practice address:** 2220 W MCGALLIARD RD, MUNCIE, IN 47304-2188
- **Practice address phone:** (765) 288-8812
- **Mailing address:** 1350 SPRING ST NW STE 600, ATLANTA, GA 30309-2870
- **Mailing address phone:** (678) 244-4844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2019
- **Last updated:** 02/06/2019