BLUE RIVER DENTAL CARE PC NPI 1396966099

NPI Information

  • NPI: 1396966099
  • Provider Name: BLUE RIVER DENTAL CARE, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1818 N RILEY HWY STE A
    SHELBYVILLE, IN
    ZIP 46176
  • Phone: (317) 392-1468

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NPI Details

BLUE RIVER DENTAL CARE, PC is a general practice dentist in Shelbyville, 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. BLUE RIVER DENTAL CARE, PC NPI is 1396966099. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1818 N RILEY HWY STE A
SHELBYVILLE, IN
ZIP 46176-171
Phone: (317) 392-1468
Fax: (317) 398-2573

The provider's authorized official is Carrie Pumphrey .
The authorized official title is Owner and has the following contact phone number (317) 392-1468.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 3/3/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice12010371INDIANAYes

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: 11/21/2025

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