# THE DENTISTS AT GATEWAY CROSSING LLC

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

## Provider details

- **NPI number:** 1982112116
- **Authorized official:** DR. MATTHEW VOGT DDS (OWNER)
- **Authorized official phone:** (724) 272-8228

## Contact information

- **Practice address:** 6621 W BROADWAY STE 600, MCCORDSVILLE, IN 46055-8811
- **Practice address phone:** (317) 589-0495
- **Mailing address:** 1615 N COLLEGE AVE APT 1, INDIANAPOLIS, IN 46202-1748
- **Mailing address phone:** (724) 272-8228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12012701A | IN | Yes |

## Other

- **Enumeration date:** 01/23/2018
- **Last updated:** 01/23/2018