# AUGUST M. NATALIE DDS FAGD & ANTHONY S NATALIE DDS, LLC

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

## Provider details

- **NPI number:** 1760590517
- **Authorized official:** DR. ANTHONY SCOT NATALIE DDS (DENTIST/OWNER)
- **Authorized official phone:** (317) 839-2381

## Contact information

- **Practice address:** 148 VESTAL RD, PLAINFIELD, IN 46168-1277
- **Practice address phone:** (317) 839-2381
- **Practice address fax:** (817) 839-0297
- **Mailing address:** 148 VESTAL RD, PLAINFIELD, IN 46168-1277
- **Mailing address phone:** (317) 839-2381
- **Mailing address fax:** (817) 839-0297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009693 | IN | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/22/2020