Organization · Type 2 NPI

DCP of Indiana (lafayette Square) PC

Orthodontics and Dentofacial Orthopedics Dentistry · Indianapolis, IN

NPI number 1306817622 Active

Practice location

4050 Lafayette Rd
Indianapolis, IN 46254-2527

Call (317) 328-5905 Map

Fax (317) 328-8533

Mailing address

PO Box 64-3011
Cincinnati, OH 45264-0001

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	None listed
Endodontics	1223E0200X	None listed
General Practice Dentistry	1223G0001X	None listed
Pediatric Dentistry	1223P0221X	None listed
Periodontics	1223P0300X	None listed
Prosthodontics	1223P0700X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1306817622

DCP of Indiana (lafayette Square) PC's National Provider Identifier is 1306817622, issued on Jan 27, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 11, 2025.