# TRANSITIONS DENTAL COMPANY

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

## Provider details

- **NPI number:** 1841416369
- **Authorized official:** MR. BRAD MELDRUM (OWNER)
- **Authorized official phone:** (765) 427-7632

## Contact information

- **Practice address:** 3667 BRADDOCK DR STE B, LAFAYETTE, IN 47909-7302
- **Practice address phone:** (765) 471-6025
- **Practice address fax:** (765) 471-6028
- **Mailing address:** 15 GRAPEVINE CT, WEST LAFAYETTE BRA, IN 47906-9047
- **Mailing address phone:** (765) 427-7632
- **Mailing address fax:** (765) 807-6814

## Taxonomy

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

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020
