# GREENWOOD DENTAL HEALTH, LLC

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

## Provider details

- **NPI number:** 1740613488
- **Authorized official:** MATTHEW FRAIZ (MEMBER)
- **Authorized official phone:** (317) 379-4831

## Contact information

- **Practice address:** 6249 S EAST ST, SUITE J, INDIANAPOLIS, IN 46227-2091
- **Practice address phone:** (317) 789-1000
- **Mailing address:** 8402 HARCOURT RD, SUITE 625, INDIANAPOLIS, IN 46260-2074
- **Mailing address phone:** (317) 872-3465

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2013
- **Last updated:** 08/16/2013
