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General NPI Number Information
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NPI Number | 1962365627
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Entity Type | Organization
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Legal Business Name | M&M PEDIATRIC DENTISTRY, LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 14660 HERRIMAN BLVD STE 400
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City | NOBLESVILLE
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State | IN
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Zip | 46060-4872
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Country | US
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Telephone | 317-703-0833
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Fax |
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Provider Business Mailing Address
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Address Line | 14660 HERRIMAN BLVD STE 400
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City | NOBLESVILLE
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State | IN
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Zip | 46060-4872
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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
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Name | MONICA GEORGE MCKARY
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Credential | D.D.S.
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Telephone | 317-703-0833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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