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

Wtdg Specialty Group LLC

Organization Dentist · NPI 1114502283

Wtdg Specialty Group LLC is a Dentist in Indianapolis, Indiana. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
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

6443 W 10th St Ste 204
Indianapolis, IN 46214-6502
Phone: (317) 247-9512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6443 W 10th St Ste 204, Indianapolis, IN 46214-6502 — (317) 247-9512

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1114502283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Barta — Member · (317) 679-8506
NPI enumeratedMarch 10, 2021
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021
Mailing address6443 W 10th St Ste 204, Indianapolis, IN 46214-6502

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