# TEAM DDS NEW CARLISLE DENTAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TEAM DDS NEW CARLISLE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841994647
- **Authorized official:** EMILY A LEAVELL (OPERATING PARTNER)
- **Authorized official phone:** (937) 580-8558

## Contact information

- **Practice address:** 203 E LAKE AVE, NEW CARLISLE, OH 45344-1420
- **Practice address phone:** (937) 580-8558
- **Practice address fax:** (937) 845-5973
- **Mailing address:** 203 E LAKE AVE, NEW CARLISLE, OH 45344-1420
- **Mailing address phone:** (937) 580-8558
- **Mailing address fax:** (937) 845-5973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2023
- **Last updated:** 03/28/2023