# MEC DENTAL I, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shelbyville Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811159700
- **Authorized official:** DR. MATTHEW EDWARD CHURCH D.M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (317) 336-6723

## Contact information

- **Practice address:** 114 LEE BLVD, SUITE E, SHELBYVILLE, IN 46176-3403
- **Practice address phone:** (317) 398-6399
- **Mailing address:** 114 LEE BLVD, SUITE E, SHELBYVILLE, IN 46176-3403
- **Mailing address phone:** (317) 398-6399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010045A | IN | Yes |

## Other

- **Enumeration date:** 07/01/2008
- **Last updated:** 07/01/2008
