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

Northeast Dental Group, Inc

Organization General Practice Dentistry · NPI 1710006143

Northeast Dental Group, Inc is a General Practice Dentistry in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8202 Clearvista Pkwy Ste 10A
Indianapolis, IN 46256-1400
Phone: (317) 596-9700
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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 12007689A (IN)

Record details

NPI number1710006143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Levin — President · (317) 596-9700
NPI enumeratedMarch 28, 2007
Last updated in NPPESAugust 22, 2020
Mailing address8202 Clearvista Pkwy, Ste 10a, Indianapolis, IN 46256-1400

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