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

Midwest Periodontal and Oral Reconstruction, PC

Organization General Practice Dentistry · NPI 1649359886

Midwest Periodontal and Oral Reconstruction, PC is a General Practice Dentistry in Indianapolis, Indiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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

508 Indiana Ave
Indianapolis, IN 46202-3106
Phone: (317) 269-0402
Fax: (317) 269-0405
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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
Periodontics Taxonomy 1223P0300X

Record details

NPI number1649359886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brigitte Mills — Director Of Business Affairs · (317) 269-0402
Other names Sonrisa-A Periodental Spa
NPI enumeratedNovember 6, 2006
Last updated in NPPESJuly 2, 2008
Mailing address508 Indiana Ave, Indianapolis, IN 46202-3106

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