# MFDC OF INDIANA, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Gentle Dentist - East Washington
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861987455
- **Authorized official:** JEFF REIBEL (CFO)
- **Authorized official phone:** (502) 254-8500

## Contact information

- **Practice address:** 9702 E WASHINGTON ST, INDIANAPOLIS, IN 46229-3611
- **Practice address phone:** (317) 897-6453
- **Practice address fax:** (317) 897-0729
- **Mailing address:** PO BOX 437169, LOUISVILLE, KY 40253-7169

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2018
- **Last updated:** 09/06/2023