NORTHSIDE ENDODONTICS PC NPI 1730345646

NPI Information

  • NPI: 1730345646
  • Provider Name: NORTHSIDE ENDODONTICS, PC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 1010 E 86TH ST
    SUITE 15
    INDIANAPOLIS, IN
    ZIP 46240
  • Phone: (317) 844-3396

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NPI Details

NORTHSIDE ENDODONTICS, PC is an endodontics dentist in Indianapolis, 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 1730345646. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1010 E 86TH ST
SUITE 15
INDIANAPOLIS, IN
ZIP 46240-868
Phone: (317) 844-3396
Fax: (317) 844-4776

The provider's authorized official is John H Slavens .
The authorized official title is Owner and has the following contact phone number (317) 844-3396.

The enumeration date for this NPI number is 7/30/2008 and was last updated on 7/30/2008.

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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