# MAIN STREET DENTAL CARE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** J. Gary Bischoff, DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770054520
- **Authorized official:** ASHWANI SHARMA DDS (OWNER)
- **Authorized official phone:** (317) 771-9244

## Contact information

- **Practice address:** 642 E MAIN ST, BROWNSBURG, IN 46112-1423
- **Practice address phone:** (317) 771-9244
- **Mailing address:** 653 RIDGE GATE DR, BROWNSBURG, IN 46112-7801
- **Mailing address phone:** (317) 771-9244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2018
- **Last updated:** 03/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201259950 | — | IN |