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

Immediadent of Indiana, PC

Organization Dentist · NPI 1063560555

Immediadent of Indiana, PC is a Dentist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3269 W 86th St Ste A-2
Indianapolis, IN 46268-3822
Phone: (317) 542-3440
Fax: (913) 800-6967
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IN)

Record details

NPI number1063560555
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationImmediadent of Indiana, PC
Authorized official Amy Wheeler — Credentialing Coordinator · (913) 800-6952
Other names Immediadent
NPI enumeratedJanuary 8, 2007
Last updated in NPPESApril 12, 2017
Mailing addressPo Box 11568, Overland Park, KS 66207-4268

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