Organization
MASTERS FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB LEE MASTERS DDS (MANAGER)
(317) 881-2500
Entity
Organization
Contact information
Practice address
191 US HIGHWAY 31 S, STE 1, GREENWOOD, IN 46142-3582
(317) 881-2500
Mailing address
191 US HIGHWAY 31 S, STE 1, GREENWOOD, IN 46142-3582
(317) 881-2500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12011008A
IN
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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