Organization
LAURA BRACKEN DDS LLC
Active
Other names
Columbus Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY M BRACKEN (OFFICE MANAGER)
(812) 373-9912
Entity
Organization
Contact information
Practice address
2526 CENTRAL AVE, COLUMBUS, IN 47201-3121
(812) 373-9912
(812) 373-9920
Mailing address
2526 CENTRAL AVE, COLUMBUS, IN 47201-3121
(812) 373-9912
(812) 373-9920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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