Dental Safari Co Indiana, LLC
Dentist, General Practice in Brownsburg, IN. Organization (NPI-2).
NPI number1669927786
StatusActive
Last updated in NPPESMar 19, 2025
Details
- NPI
- 1669927786
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Safari Co Indiana, LLC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2016
- Last updated
- Mar 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 122300000X | Dentist | – | – |
Practice location
1634 E Northfield Dr., Ste 500Brownsburg, IN 46112
Phone 618-993-8333 · Fax 618-993-8335
Mailing address
P.O. Box 2314Carbondale, IL 62902
Phone 618-993-8333 · Fax 618-993-8335
Authorized official
Melissa Ann Morley
Owner/President
6185596654
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