# CHOICE DENTAL CENTRE OF GREENWOOD PC

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

## Provider details

- **NPI number:** 1851423099
- **Authorized official:** DR. MICHELLE E LUMSDON DDS (PRES)
- **Authorized official phone:** (317) 881-5200

## Contact information

- **Practice address:** 8936 SOUTHPOINTE DRIVE, SUITE B 6, INDIANAPOLIS, IN 46227-7506
- **Practice address phone:** (317) 881-5200
- **Practice address fax:** (317) 881-9255
- **Mailing address:** 8936 SOUTHPOINTE DRIVE, SUITE B 6, INDIANAPOLIS, IN 46227-7506
- **Mailing address phone:** (317) 881-5200
- **Mailing address fax:** (317) 881-9255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009965 | IN | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1691652 | UNITED CONCORDIA | IN |
| 05 | — | 20051320A | — | IN |