# LOCK & MIRANI DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tipton Lakes Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942931696
- **Authorized official:** DR. SHUAIB MIRANI DDS (MEMBER)
- **Authorized official phone:** (502) 475-2023

## Contact information

- **Practice address:** 4570 W JONATHAN MOORE PIKE, COLUMBUS, IN 47201-4686
- **Practice address phone:** (502) 475-2023
- **Mailing address:** 1440 S EAST ST, INDIANAPOLIS, IN 46225-1806
- **Mailing address phone:** (502) 475-2023

## Taxonomy

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

## Other

- **Enumeration date:** 06/23/2022
- **Last updated:** 06/23/2022