# QUALITY CORRECTIONAL DENTAL SERVICES LLC

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

## Provider details

- **NPI number:** 1730906223
- **Authorized official:** LORA SORRELL (DIRECTOR)
- **Authorized official phone:** (765) 749-5290

## Contact information

- **Practice address:** 12900 N MERIDIAN ST STE 140, CARMEL, IN 46032-5401
- **Practice address phone:** (765) 749-5290
- **Mailing address:** 401 W AIR PARK DR, MUNCIE, IN 47303
- **Mailing address phone:** (765) 749-5290

## Taxonomy

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

## Other

- **Enumeration date:** 09/25/2024
- **Last updated:** 09/25/2024