# FALL CREEK FAMILY DENTAL

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

## Provider details

- **NPI number:** 1962708990
- **Authorized official:** DR. REBECCA L FOSS DDS (DENTIST)
- **Authorized official phone:** (317) 670-5893

## Contact information

- **Practice address:** 9751 FALL CREEK RD, INDIANAPOLIS, IN 46256-4713
- **Practice address phone:** (317) 842-1090
- **Practice address fax:** (317) 842-3472
- **Mailing address:** 9751 FALL CREEK RD, INDIANAPOLIS, IN 46256-4713
- **Mailing address phone:** (317) 842-1090
- **Mailing address fax:** (317) 842-3472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12011323A | IN | Yes |

## Other

- **Enumeration date:** 02/09/2011
- **Last updated:** 02/09/2011