ALLISONVILLE DENTAL CENTRE PC NPI 1568520294

NPI Information

  • NPI: 1568520294
  • Provider Name: ALLISONVILLE DENTAL CENTRE PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • CLIA Number: 15D2096053
  • Address: 2811 EAST 46TH STREET
    INDIANAPOLIS, IN
    ZIP 46205
  • Phone: (317) 547-5766

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NPI Details

ALLISONVILLE DENTAL CENTRE PC 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. ALLISONVILLE DENTAL CENTRE PC NPI is 1568520294. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2811 EAST 46TH STREET
INDIANAPOLIS, IN
ZIP 46205-999
Phone: (317) 547-5766
Fax: (317) 547-5290

The provider's authorized official is Ronda Richelle Cox .
The authorized official title is Office Manager and has the following contact phone number (317) 547-5766.

The CLIA number assigned to this NPI record is 15D2096053 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 8/22/2020.

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 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: 11/21/2025

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