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

Southport Dental, PC

Organization General Practice Dentistry · NPI 1376767525

Southport Dental, PC 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8028 S Emerson Ave Ste A
Indianapolis, IN 46237-9301
Phone: (317) 883-3300
Fax: (317) 889-3348
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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 12010416 (IN)

Record details

NPI number1376767525
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Mills — Dentist · (317) 883-3300
NPI enumeratedApril 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address8028 South Emerson Ave, Suite A, Indianapolis, IN 46237

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