Organization · Type 2 NPI

Dental Services of Indiana, P.c.

General Practice Dentistry · Indianapolis, IN

NPI number 1982135174 Active

Practice location

4960 S Emerson Ave
Indianapolis, IN 46203-5937

Call (317) 324-4333 Map

Fax (866) 591-0604

Mailing address

PO Box 11568
Overland Park, KS 66207-4268

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.

5 other providers at this address

Other general practice dentistry providers in Indianapolis

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NPI record

NPI: 1982135174
Entity type: Organization (Type 2)
Issued: Mar 21, 2017
Last updated: May 1, 2017
Status: Active
Subpart: Yes of Dental Services of Indiana, P.c.

Other names

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Immediadent · doing business as

Authorized official

Monica L Long
Manager of Provider Credentialing
(913) 428-1686

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 1982135174

Dental Services of Indiana, P.c.'s National Provider Identifier is 1982135174, issued on Mar 21, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Indianapolis, IN. The record was last updated on May 1, 2017.