Organization · Type 2 NPI

Dental Professionals of Indiana, PC

Dentist · Noblesville, IN

NPI number 1376415273 Active

Practice location

5957 Promenade Shops Blvd Ste 105
Noblesville, IN 46062-5620

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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NPI record

NPI: 1376415273
Entity type: Organization (Type 2)
Issued: Sep 19, 2025
Last updated: Sep 19, 2025
Status: Active
Subpart: Yes of Dental Professionals of Indiana, P.c.

Other names

Promenade Dental Care · doing business as

Authorized official

Cemyira McDougal
Credentialing Coordinator
(217) 764-8609

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376415273

Dental Professionals of Indiana, PC's National Provider Identifier is 1376415273, issued on Sep 19, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Noblesville, IN. The record was last updated on Sep 19, 2025.