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

Idc Dental Group, Inc

Organization General Practice Dentistry · NPI 1093164535

Idc Dental Group, Inc is a General Practice Dentistry in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5150 E Stop 11 RD Ste 11
Indianapolis, IN 46237-8628
Phone: (317) 889-6000
Fax: (317) 889-1618
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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 12012473A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12007400A (IN)

Record details

NPI number1093164535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kellie Schaub — Owner/President · (317) 884-8633
NPI enumeratedJune 6, 2016
Last updated in NPPESJune 6, 2016
Mailing address8445 S Emerson Ave, Suite 101, Indianapolis, IN 46237-9596

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