# ADVANCED FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1912435843
- **Authorized official:** DAVID TALER (OWNER)
- **Authorized official phone:** (317) 849-1223

## Contact information

- **Practice address:** 9845 E 116TH ST STE 400, FISHERS, IN 46037-9236
- **Practice address phone:** (317) 849-1223
- **Mailing address:** 9845 E 116TH ST STE 400, FISHERS, IN 46037-9236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12011831A | IN | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 05/23/2017
- **Last updated:** 05/24/2017