# TY CAMPBELL DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TY CAMPBELL DDS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750685731
- **Legal business name:** TY CAMPBELL DDS, LLC
- **Authorized official:** ANDREA STROTHER (OFFICE MANAGER)
- **Authorized official phone:** (317) 255-0307

## Contact information

- **Practice address:** 931 E 86TH ST, SUITE 207, INDIANAPOLIS, IN 46240-1860
- **Practice address phone:** (317) 255-0307
- **Mailing address:** 931 E 86TH ST, SUITE 207, INDIANAPOLIS, IN 46240-1860
- **Mailing address phone:** (317) 255-0307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12008966 | IN | Yes |

## Other

- **Enumeration date:** 01/05/2011
- **Last updated:** 01/05/2011