Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broad Ripple Family Dental, LLC

Organization General Practice Dentistry · NPI 1073840393

Broad Ripple Family Dental, LLC is a General Practice Dentistry in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2009.

Licensed in
IN
In the registry since
2009
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6117 N College Ave
Indianapolis, IN 46220-2233
Phone: (317) 257-3368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12010357A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12007547A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12010049A (IN)

Record details

NPI number1073840393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Elrod — Dentist · (317) 257-3368
NPI enumeratedNovember 6, 2009
Last updated in NPPESNovember 6, 2009
Mailing address6117 N. College, Indianapolis, IN 46220

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