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

Mooresville Pediatric Dentistry PC

Organization Pediatric Dentistry · NPI 1912719147

Mooresville Pediatric Dentistry PC is a Pediatric Dentistry in Mooresville, Indiana. Registered with an NPI since 2025.

In the registry since
2025
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

100 Town Center Dr S Ste A
Mooresville, IN 46158-2322
Phone: (317) 831-5439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1912719147
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holly Clark — Owner · (317) 273-2372
NPI enumeratedJanuary 24, 2025
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025
Mailing address7830 Rockville Rd Ste A, Indianapolis, IN 46214-3130

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