# KRISTIN STEVENS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center Grove Family Dentistry LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922805969
- **Authorized official:** KRISTIN STEVENS DDS (OWNER/DENTIST)
- **Authorized official phone:** (317) 548-2627

## Contact information

- **Practice address:** 5873 N STATE ROAD 135, GREENWOOD, IN 46143-5616
- **Practice address phone:** (317) 548-2627
- **Practice address fax:** (317) 548-2627
- **Mailing address:** 5873 N STATE ROAD 135, GREENWOOD, IN 46143-5616
- **Mailing address phone:** (317) 548-2627
- **Mailing address fax:** (317) 548-2627

## Taxonomy

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

## Other

- **Enumeration date:** 02/27/2025
- **Last updated:** 02/27/2025