# PROMISE DENTAL LLC

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

## Provider details

- **NPI number:** 1972041705
- **Authorized official:** DR. PAVEL D SVILENOV DMD (MEMBER)
- **Authorized official phone:** (317) 537-7280

## Contact information

- **Practice address:** 12574 PROMISE CREEK LN, SUITE 110, FISHERS, IN 46038-7712
- **Practice address phone:** (317) 537-7280
- **Mailing address:** 12574 PROMISE CREEK LN, SUITE 110, FISHERS, IN 46038-7712
- **Mailing address phone:** (317) 537-7280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12010897A | IN | Yes |

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 01/31/2017
