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

Glendale Family Dentistry, LLC

Organization Dental Clinic/Center · NPI 1013748615

Glendale Family Dentistry, LLC is a Dental Clinic/Center in Indianapolis, Indiana. Registered with an NPI since 2024.

In the registry since
2024
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

2620 E 62nd St
Indianapolis, IN 46220-2934
Phone: (507) 208-3987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1013748615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Stafford — Owner · (507) 208-3987
Other names Glendale Family Dentistry
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address114 Walter Remley Dr, Crawfordsville, IN 47933-3350

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