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

Southeast Dental Group

Organization General Practice Dentistry · NPI 1114031952

Southeast Dental Group is a General Practice Dentistry in Indianapolis, Indiana. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

6020 Southeastern Ave
Indianapolis, IN 46203-5611
Phone: (317) 359-1754
Fax: (317) 357-3663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1114031952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Bohnert — President/Owner · (317) 359-1754
NPI enumeratedAugust 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address6020 Southeastern Ave, Indianapolis, IN 46203-5611

Other providers in Indianapolis