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General NPI Number Information
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NPI Number | 1134081110
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Entity Type | Organization
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Legal Business Name | DENTISTRY BY DMK, LLC
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 2620 E 62ND ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-2934
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Country | US
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Telephone | 317-251-2371
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Fax |
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Provider Business Mailing Address
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Address Line | 711 COTTAGE AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-2710
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Country | US
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Telephone | 317-383-6116
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIELLE KLUTTZ
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Credential | DDS
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Telephone | 317-383-6116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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