INDIGO DENTAL INC NPI 1699861336

NPI Information

  • NPI: 1699861336
  • Provider Name: INDIGO DENTAL INC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: INDIGO DENTAL OF DAYTONA BEACH
  • Address: 139 EXECUTIVE CIR
    SUITE 101
    DAYTONA BEACH, FL
    ZIP 32114
  • Phone: (386) 253-3629

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NPI Details

INDIGO DENTAL INC is a dental clinic center in Daytona Beach, FL. INDIGO DENTAL INC NPI is 1699861336. The provider is registered as an organization entity type.
The provider Is Doing Business As Indigo Dental Of Daytona Beach.

The provider's business location address is:

139 EXECUTIVE CIR
SUITE 101
DAYTONA BEACH, FL
ZIP 32114-198
Phone: (386) 253-3629
Fax: (386) 253-3620

The provider's authorized official is David Robert Lloyd .
The authorized official title is President and has the following contact phone number (386) 253-3629.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/24/2024.

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
1261QD0000XClinic/CenterDentalDN0013454FLORIDAYes
2332B00000XDurable Medical Equipment & Medical SuppliesNo

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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