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

Immediadent PC

Organization Dentist · NPI 1578517132

Immediadent PC is a Dentist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

8845 Boehning Ln
Indianapolis, IN 46219
Phone: (317) 899-1112
Fax: (317) 899-1117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12010195 (IN)

Record details

NPI number1578517132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Bever — National Manager · (317) 577-5758
NPI enumeratedMay 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address6150 E 82nd St, Indianapolis, IN 46250

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