WEST 10TH DENTAL GROUP PROFESSIONAL CORPORATION NPI 1578757191

NPI Information

  • NPI: 1578757191
  • Provider Name: WEST 10TH DENTAL GROUP, PROFESSIONAL CORPORATION
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: ORAL SUGERY AND IMPLANT CENTER OF INDIANA
  • Address: 6443 W 10TH ST
    SUITE 204
    INDIANAPOLIS, IN
    ZIP 46214
  • Phone: (317) 247-9512

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NPI Details

WEST 10TH DENTAL GROUP, PROFESSIONAL CORPORATION 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. WEST 10TH DENTAL GROUP, PROFESSIONAL CORPORATION NPI is 1578757191. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Oral Sugery And Implant Center Of Indiana.

The provider's business location address is:

6443 W 10TH ST
SUITE 204
INDIANAPOLIS, IN
ZIP 46214-501
Phone: (317) 247-9512

The provider's authorized official is Brent J. Barta .
The authorized official title is President/owner and has the following contact phone number (317) 247-9512.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 8/28/2007.

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
11223P0221XDentistPediatric Dentistry12010589AINDIANANo
21223S0112XDentistOral and Maxillofacial Surgery12010678AINDIANANo
31223G0001XDentistGeneral PracticeINDIANAYes

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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