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

Immediadent of Indiana, PC

Organization Dentist · NPI 1699168435

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

In the registry since
2015
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

5457 W 38th St
Indianapolis, IN 46254-2917
Phone: (317) 291-9000
Fax: (866) 591-0604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1699168435
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationImmediadent of Indiana, PC
Authorized official Monica Long — Manager Of Provider Credentialing · (913) 428-1686
Other names Immediadent
NPI enumeratedMarch 17, 2015
Last updated in NPPESApril 27, 2017
Mailing addressPo Box 11568, Overland Park, KS 66207-4268

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