# TENTH ST DENTAL CARE PC

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

## Provider details

- **NPI number:** 1881704534
- **Authorized official:** DR. BRETT ALLEN EGELSKE DDS (PRESIDENT)
- **Authorized official phone:** (317) 358-8885

## Contact information

- **Practice address:** 6919 E 10TH ST, SUITE A1, INDIANAPOLIS, IN 46219-4893
- **Practice address phone:** (317) 358-8885
- **Practice address fax:** (317) 358-8886
- **Mailing address:** 6919 E 10TH ST, SUITE A1, INDIANAPOLIS, IN 46219
- **Mailing address phone:** (317) 358-8885
- **Mailing address fax:** (317) 358-8886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009348A | IN | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 11/14/2007