Organization · Type 2 NPI

Dental Professionals of In, P.c.

General Practice Dentistry · Indianapolis, IN

NPI number 1770194698 Active

Practice location

8570 Northwest Blvd
Indianapolis, IN 46278-1383

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

Other general practice dentistry providers in Indianapolis

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NPI record

NPI: 1770194698
Entity type: Organization (Type 2)
Issued: Aug 13, 2020
Last updated: Dec 10, 2024
Status: Active
Subpart: Yes of Dental Professionals of In, P.c.

Other names

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Park 100 Dental Care · doing business as

Authorized official

Tabatha Lemke
Credentialing Coordinator
(217) 540-6078

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 1770194698

Dental Professionals of In, P.c.'s National Provider Identifier is 1770194698, issued on Aug 13, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 10, 2024.