Organization
MFDC OF INDIANA, INC
Active
Other names
My Indy Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY REIBEL (CHIEF FINANCIAL OFFICER)
(502) 254-8526
Entity
Organization
Contact information
Practice address
3804 N DELAWARE ST, INDIANAPOLIS, IN 46205-2648
(463) 258-7067
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 254-8500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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