# DAVIES DENTAL, LLC

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

## Provider details

- **NPI number:** 1760916381
- **Authorized official:** JENNA DAVIES DDS (OWNER)
- **Authorized official phone:** (317) 288-5388

## Contact information

- **Practice address:** 9850 E 79TH ST, INDIANAPOLIS, IN 46256-4822
- **Practice address phone:** (317) 288-5388
- **Practice address fax:** (317) 288-5412
- **Mailing address:** 9850 E 79TH ST, INDIANAPOLIS, IN 46256-4822
- **Mailing address phone:** (317) 288-5388
- **Mailing address fax:** (317) 288-5412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12012035A | IN | Yes |

## Other

- **Enumeration date:** 04/20/2017
- **Last updated:** 05/11/2017