Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fortville Family Denistry LLC

Organization Dentist · NPI 1063657187

Fortville Family Denistry LLC is a Dentist in Fortville, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14 S Main St
Fortville, IN 46040-1315
Phone: (317) 485-5251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12008802B (IN)

Record details

NPI number1063657187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Laconi — Owner · (317) 485-5251
NPI enumeratedDecember 3, 2008
Last updated in NPPESDecember 3, 2008
Mailing address14 S Main St, Fortville, IN 46040-1315

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