# FAMILY & IMPLANT DENTISTRY HUNTINGBURG LLC

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

## Provider details

- **NPI number:** 1952824047
- **Authorized official:** DR. ALAN PAUL FRIZ DDS (OWNER)
- **Authorized official phone:** (812) 683-5810

## Contact information

- **Practice address:** 1411 N CHESTNUT ST, HUNTINGBURG, IN 47542-9341
- **Practice address phone:** (812) 683-5810
- **Mailing address:** 1411 N CHESTNUT ST, HUNTINGBURG, IN 47542-9341
- **Mailing address phone:** (812) 683-5810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12008787A | IN | Yes |

## Other

- **Enumeration date:** 07/20/2017
- **Last updated:** 07/21/2022