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

Malek Fansa DDS, LLC

Organization General Practice Dentistry · NPI 1619412103

Malek Fansa DDS, LLC is a General Practice Dentistry in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
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

9620 E 59th St
Indianapolis, IN 46216-1020
Phone: (317) 545-6545
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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 · Licence 12010260A (IN)

Record details

NPI number1619412103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malek Fansa — Dentist/Owner · (317) 545-6545
Other names Gentle Family Dentistry At Fort Ben Harrison
NPI enumeratedDecember 20, 2016
Last updated in NPPESDecember 20, 2016
Mailing address13119 Maywick Dr, Fishers, IN 46037-4425

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