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DENTAL SERVICES OF INDIANA P.C. NPI 1982135174


NPI Information

NPI: 1982135174
Provider Name: DENTAL SERVICES OF INDIANA, P.C.

Doing Business As: IMMEDIADENT

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4960 S EMERSON AVE
INDIANAPOLIS, IN
ZIP 46203
Phone: (317) 324-4333
Get Directions

DENTAL SERVICES OF INDIANA, P.C. is a general practice dentist in Indianapolis, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DENTAL SERVICES OF INDIANA, P.C. NPI is 1982135174. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Immediadent.

The provider's business location address is:

4960 S EMERSON AVE
INDIANAPOLIS, IN
ZIP 46203-937
Phone: (317) 324-4333
Fax: (866) 591-0604

The provider's authorized official is Monica L Long .
The authorized official title is Manager Of Provider Credentialing and has the following contact phone number (913) 428-1686.

The enumeration date for this NPI number is 3/21/2017 and was last updated on 5/1/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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