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

Lakewood Family Dental of Indianapolis LLC

Organization General Practice Dentistry · NPI 1194213207

Lakewood Family Dental of Indianapolis LLC is a General Practice Dentistry in Indianapolis, Indiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3443 W 86th St Ste C
Indianapolis, IN 46268-1991
Phone: (732) 379-0953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1194213207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinivasulu Kakollu — President · (732) 379-0953
NPI enumeratedApril 24, 2018
Last updated in NPPESApril 24, 2018
Mailing address8777 Purdue Rd Ste 115, Indianapolis, IN 46268-3104

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