# PEBBLE BROOK DENTISTRY LLC

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

## Provider details

- **NPI number:** 1821273533
- **Authorized official:** DR. CHISTOPHER SPOHR DDS (PRESIDENT)
- **Authorized official phone:** (317) 896-1515

## Contact information

- **Practice address:** 5713 PEBBLE VILLAGE LN, NOBLESVILLE, IN 46062-7373
- **Practice address phone:** (317) 896-1515
- **Mailing address:** 5713 PEBBLE VILLAGE LN, NOBLESVILLE, IN 46062-7373
- **Mailing address phone:** (317) 896-1515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010838A | IN | Yes |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 01/02/2008