MALEK FANSA D.D.S. LLC. NPI 1619412103

NPI Information

  • NPI: 1619412103
  • Provider Name: MALEK FANSA D.D.S., LLC.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: GENTLE FAMILY DENTISTRY AT FORT BEN HARRISON
  • Address: 9620 E 59TH ST
    INDIANAPOLIS, IN
    ZIP 46216
  • Phone: (317) 545-6545

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NPI Details

MALEK FANSA D.D.S., LLC. 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. MALEK FANSA D.D.S., LLC. NPI is 1619412103. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gentle Family Dentistry At Fort Ben Harrison.

The provider's business location address is:

9620 E 59TH ST
INDIANAPOLIS, IN
ZIP 46216-020
Phone: (317) 545-6545

The provider's authorized official is Malek Fansa .
The authorized official title is Dentist/owner and has the following contact phone number (317) 545-6545.

The enumeration date for this NPI number is 12/20/2016 and was last updated on 12/20/2016.

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 Practice12010260AINDIANAYes

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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