# BRAZIL FAMILY DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1902649304
- **Authorized official:** DR. RYAN L ROSS DDS (OWNER)
- **Authorized official phone:** (812) 443-2541

## Contact information

- **Practice address:** 497 E US HIGHWAY 40, BRAZIL, IN 47834-7745
- **Practice address phone:** (812) 443-2541
- **Practice address fax:** (812) 446-1045
- **Mailing address:** 497 E US HIGHWAY 40, BRAZIL, IN 47834-7745
- **Mailing address phone:** (812) 443-2541
- **Mailing address fax:** (812) 446-1045

## Taxonomy

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

## Other

- **Enumeration date:** 06/14/2024
- **Last updated:** 06/14/2024