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 1194193078

Immediadent of Indiana, PC is a Dentist in Clarksville, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1160 E Lewis And Clark Pkwy
Clarksville, IN 47129-7735
Phone: (812) 284-4040
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 · Licence 12010746A (IN)

Record details

NPI number1194193078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Wheeler — Credentialing Coordinator · (913) 800-6952
Other names Immediadent
NPI enumeratedSeptember 9, 2015
Last updated in NPPESSeptember 9, 2015
Mailing addressPo Box 11568, Overland Park, KS 66207-4268

Other providers in Clarksville