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

Spark Dental in, LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1679282743

Spark Dental in, LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Indianapolis, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9602 E Washington St Ste B
Indianapolis, IN 46229-3060
Phone: (317) 898-7645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1679282743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phi Le — Credentialing Manaer · (267) 575-2321
Other names Werner Orthodontics
NPI enumeratedNovember 17, 2022
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022
Mailing address300 Willowbrook Ln Ste 330, West Chester, PA 19382-5594

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