Organization
DEE FAMILY DENTAL LLC
Active
Parent organization
DEE FAMILY DENTAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEE FAMILY DENTAL LLC
Authorized official
DR. ANTHONY MICHAEL DEE DMD (OWNER)
(847) 401-0581
Entity
Organization
Contact information
Practice address
3200 SYCAMORE CT STE 1C, COLUMBUS, IN 47203-1545
(812) 379-9211
Mailing address
3200 SYCAMORE CT STE 1C, COLUMBUS, IN 47203-1545
(812) 379-9211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12011686A
IN DENTAL LICENSE
IN
01
—
1417244815
NPI TYPE 1
IN
Enumeration date
11/09/2021
Last updated
11/09/2021
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