# SHIRER FAMILY DENTISTRY P.C.

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

## Provider details

- **NPI number:** 1821270919
- **Authorized official:** DR. RENEE M SHIRER D.D.S. (PRESIDENT)
- **Authorized official phone:** (765) 742-4944

## Contact information

- **Practice address:** 709 S 18TH ST, SUITE E, LAFAYETTE, IN 47905-1575
- **Practice address phone:** (765) 742-4944
- **Practice address fax:** (765) 742-7672
- **Mailing address:** 709 S 18TH ST, SUITE E, LAFAYETTE, IN 47905-1575
- **Mailing address phone:** (765) 742-4944
- **Mailing address fax:** (765) 742-7672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12010070A | IN | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 11/29/2007