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

Indy East Periodontics PC

Organization Periodontics · NPI 1164726832

Indy East Periodontics PC is a Periodontics in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
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

115 N Shortridge Rd Ste 100
Indianapolis, IN 46219-4917
Phone: (317) 357-2235
Fax: (317) 357-2210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X (IN)

Record details

NPI number1164726832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Koehler — Periodontist · (317) 357-2235
NPI enumeratedJanuary 10, 2011
Last updated in NPPESJanuary 10, 2011
Mailing address115 N Shortridge Rd Ste 100, Indianapolis, IN 46219-4917

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