# HAZEL DELL CROSSING DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarity Dentistry Hazel Dell Crossing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942750278
- **Authorized official:** DR. MARK SANFORD DDS (MANAGING MEMBER)
- **Authorized official phone:** (317) 491-5095

## Contact information

- **Practice address:** 14555 HAZEL DELL PKWY STE 130, CARMEL, IN 46033-7234
- **Practice address phone:** (317) 491-5095
- **Mailing address:** 14555 HAZEL DELL PKWY STE 130, CARMEL, IN 46033-7234
- **Mailing address phone:** (317) 491-5095

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2016
- **Last updated:** 10/11/2016