# GEISSE FAMILY DENTAL LLC

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

## Provider details

- **NPI number:** 1720832025
- **Authorized official:** RICHEL GEISSE DDS (OWNER/DENTIST)
- **Authorized official phone:** (317) 670-9768

## Contact information

- **Practice address:** 8025 CRAWFORDSVILLE RD, INDIANAPOLIS, IN 46214-1531
- **Practice address phone:** (317) 291-6575
- **Mailing address:** 6677 KARLEIGH DR, BROWNSBURG, IN 46112-5512
- **Mailing address phone:** (317) 670-9768

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2024
- **Last updated:** 04/15/2024
