# EASTPOINTE FAMILY DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1801649637
- **Authorized official:** AMANDA MARIE CLEMONS DDS (OWNER / DENTIST)
- **Authorized official phone:** (317) 502-4558

## Contact information

- **Practice address:** 1002 N MITTHOEFER RD STE B, INDIANAPOLIS, IN 46229-2461
- **Practice address phone:** (317) 898-6666
- **Practice address fax:** (317) 898-4965
- **Mailing address:** 1002 N MITTHOEFER RD STE B, INDIANAPOLIS, IN 46229-2461
- **Mailing address phone:** (317) 898-6666
- **Mailing address fax:** (317) 898-4965

## Taxonomy

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

## Other

- **Enumeration date:** 04/10/2024
- **Last updated:** 04/10/2024