# DEE FAMILY DENTAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEE FAMILY DENTAL LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972269421
- **Legal business name:** DEE FAMILY DENTAL LLC
- **Authorized official:** DR. ANTHONY MICHAEL DEE DMD (OWNER)
- **Authorized official phone:** (847) 401-0581

## Contact information

- **Practice address:** 3200 SYCAMORE CT STE 1C, COLUMBUS, IN 47203-1545
- **Practice address phone:** (812) 379-9211
- **Mailing address:** 3200 SYCAMORE CT STE 1C, COLUMBUS, IN 47203-1545
- **Mailing address phone:** (812) 379-9211

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2021
- **Last updated:** 11/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12011686A | IN DENTAL LICENSE | IN |
| 01 | — | 1417244815 | NPI TYPE 1 | IN |