# ELWOOD FAMILY DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1740718980
- **Authorized official:** MR. KEVIN LEFEVRE (VICE PRESIDENT)
- **Authorized official phone:** (317) 756-7125

## Contact information

- **Practice address:** 213 N 16TH ST, ELWOOD, IN 46036-1769
- **Practice address phone:** (765) 552-7803
- **Practice address fax:** (765) 552-5106
- **Mailing address:** 16426 CHALET CIR, WESTFIELD, IN 46074-8781
- **Mailing address phone:** (317) 756-7125

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2017
- **Last updated:** 06/01/2017