# GODLEY FAMILY ORTHODONTICS LLC

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

## Provider details

- **NPI number:** 1730856808
- **Authorized official:** DR. DANIELLE N GODLEY DDS, MS (OWNER / ORTHODONTIST)
- **Authorized official phone:** (765) 425-1321

## Contact information

- **Practice address:** 12036 N MICHIGAN RD STE 100, ZIONSVILLE, IN 46077-8782
- **Practice address phone:** (317) 913-2828
- **Mailing address:** 12036 N MICHIGAN RD STE 100, ZIONSVILLE, IN 46077-8782
- **Mailing address phone:** (317) 913-2828

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2021
- **Last updated:** 08/26/2021