# MFDC OF INDIANA, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Gentle Dentist - Elletsville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760977367
- **Authorized official:** JEFF REIBEL (CFP)
- **Authorized official phone:** (502) 254-8500

## Contact information

- **Practice address:** 3617 W STATE ROAD 46, BLOOMINGTON, IN 47404-9152
- **Practice address phone:** (812) 876-0007
- **Practice address fax:** (812) 876-0014
- **Mailing address:** PO BOX 437169, LOUISVILLE, KY 40253-7169

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2018
- **Last updated:** 09/06/2023