# SAMELA FAMILY DENTISTRY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720693401
- **Authorized official:** KATHY MARIE LAMONT RDH (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (317) 450-4899

## Contact information

- **Practice address:** 1678 FRY RD STE B, GREENWOOD, IN 46142-1176
- **Practice address phone:** (314) 360-8443
- **Mailing address:** 11934 E 79TH ST, INDIANAPOLIS, IN 46236-0110
- **Mailing address phone:** (317) 450-4899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2020
- **Last updated:** 09/10/2020