# SHELBYVILLE FAMILY DENTAL

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

## Provider details

- **NPI number:** 1740556851
- **Authorized official:** DIANE SCEARCE DDS (DENTIST)
- **Authorized official phone:** (317) 398-6399

## Contact information

- **Practice address:** 122 LEE BOULEVARD, SHELBYVILLE, IN 46176-3403
- **Practice address phone:** (317) 398-6399
- **Practice address fax:** (317) 398-6362
- **Mailing address:** 122 LEE BOULEVARD, SHELBYVILLE, IN 46176-3403
- **Mailing address phone:** (317) 398-6399
- **Mailing address fax:** (317) 398-6362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12011144A | IN | Yes |

## Other

- **Enumeration date:** 03/23/2012
- **Last updated:** 03/23/2012
