# AMY MONTEFALCO D.D.S LLC

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

## Provider details

- **NPI number:** 1730708157
- **Authorized official:** DR. AMY J MONTEFALCO DDS (OWNER/DENTIST)
- **Authorized official phone:** (317) 260-0742

## Contact information

- **Practice address:** 2801 FAIRVIEW PL STE U, GREENWOOD, IN 46142-1339
- **Practice address phone:** (317) 881-1680
- **Mailing address:** 4720 QUAILS NEST DR, INDIANAPOLIS, IN 46237-2962
- **Mailing address phone:** (317) 260-0742

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2020
- **Last updated:** 04/15/2020