Morgan County Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MORGAN COUNTY FAMILY DENTAL LLC

Practice address

124 N Indiana St
Mooresville, IN 46158-1503

Phone

(317) 831-3370

NPI assigned

Jun 21, 2023

Last updated

Jun 21, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Blake Westra, DMD

Title

Dr.

Phone

(314) 660-7780

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1306521869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E JASPER ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442437",
            "telephone_number": "217-463-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N INDIANA ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581503",
            "telephone_number": "317-831-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN COUNTY FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "WESTRA",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "314-660-7780",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mooresville Dental Acquisition
• Mooresville Endoscopy Center LLC
• Mooresville Family Dentistry
• Mooresville Family Eyecare, PC
• Mooresville Pediatric Dentistry PC
• Tamara June Morrison - Barnett, FNP
• James Michael Murrell, MD
• Jinny Myers
• Scott M Neville, DPM
• New Dawn Transportation Service LLC

• Dental Clinic/Center in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.