NORTHSIDE ENDODONTICS PC NPI 1588810980

NPI Information

  • NPI: 1588810980
  • Provider Name: NORTHSIDE ENDODONTICS, PC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 1400 S PILGRIM BLVD
    YORKTOWN, IN
    ZIP 47396
  • Phone: (765) 759-9630

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NPI Details

NORTHSIDE ENDODONTICS, PC is an endodontics dentist in Yorktown, IN. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. NORTHSIDE ENDODONTICS, PC NPI is 1588810980. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1400 S PILGRIM BLVD
YORKTOWN, IN
ZIP 47396-250
Phone: (765) 759-9630
Fax: (765) 759-9640

The provider's authorized official is John H Slavens .
The authorized official title is Owner and has the following contact phone number (795) 759-9630.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 8/18/2008.

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
11223E0200XDentistEndodontics54000837AINDIANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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