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General NPI Number Information
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NPI Number | 1669338729
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIVE FAMILY DENTISTRY OF SOUTHERN INDIANA, LLC
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Dates
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Enumeration Date | 01/01/2026
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 4801 PAOLI PIKE STE 102
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City | FLOYDS KNOBS
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State | IN
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Zip | 47119-9681
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Country | US
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Telephone | 812-207-1090
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Fax |
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Provider Business Mailing Address
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Address Line | 7264 DYLAN DR
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City | BROWNSBURG
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State | IN
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Zip | 46112-9769
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. KYLE RATLIFF
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Credential | DDS
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Telephone | 812-207-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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