Organization · Type 2 NPI
Kids & Adult Dental Southport Inc
Dentist · Southport, IN
Practice location
7001 Madison Ave
Southport, IN 46227-5203
Fax (317) 986-4097
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…
About NPI 1689553018
Kids & Adult Dental Southport Inc's National Provider Identifier is 1689553018, issued on Aug 29, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Southport, IN. The record was last updated on Dec 11, 2025.