NPI 1124735782

96th Street Family Dentistry LLC

Organisation General Practice Dentistry Fishers, IN

Practice location

Address: 7862 E 96th St, Fishers, IN 46037-9629
Phone: (317) 576-9393
Mailing address: 340 Parkview Dr, New Castle, IN 47362-2945

Authorised official

Name: Megan Munchel
Title: Regional Manager
Phone: (765) 529-7616

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1124735782
Entity type: Organization
NPI issued: 3 Nov 2022
Record last updated: 3 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.