Godley Family Orthodontics LLC
Clinic/Center, Dental in Zionsville, IN. Organization (NPI-2).
NPI number1730856808
StatusActive
Last updated in NPPESAug 26, 2021
Details
- NPI
- 1730856808
- Entity type
- Organization (NPI-2)
- Legal business name
- Godley Family Orthodontics LLC
- Organization subpart
- No
- Enumeration date
- Aug 26, 2021
- Certification date
- Aug 26, 2021
- Last updated
- Aug 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
12036 N Michigan Rd Ste 100Zionsville, IN 46077-8782
Phone 317-913-2828
Mailing address
12036 N Michigan Rd Ste 100Zionsville, IN 46077-8782
Phone 317-913-2828
Authorized official
Danielle N Godley
Owner / Orthodontist
7654251321
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