# SWEET TOOTH DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1902542160
- **Authorized official:** DR. SHEREEN A ELSAHY DDS (DENTIST / OWNER)
- **Authorized official phone:** (317) 910-7832

## Contact information

- **Practice address:** 9510 N MERIDIAN ST STE 250, INDIANAPOLIS, IN 46260-1334
- **Practice address phone:** (317) 910-7832
- **Mailing address:** 9510 N MERIDIAN ST STE 250, INDIANAPOLIS, IN 46260-1334
- **Mailing address phone:** (317) 910-7832

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2022
- **Last updated:** 05/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12012010A | IN DENTAL LICENSE | IN |
| 01 | — | 1851731483 | NPI TYPE 1 | IN |
| 05 | — | 201249040 | — | IN |