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

Samuel Albert Tancredi, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1073783478

Samuel Albert Tancredi, DDS is an Oral Surgery in Indianapolis, Indiana. Qualified in 2004, 22 years ago. Practices with Indiana Oral and Maxillofacial Surgery Associates PC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
22
Licensed in
IN
In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

9240 N Meridian St Ste 300
Indianapolis, IN 46260-1880
Phone: (317) 846-7377
Fax: (317) 846-8566
Show map & directions

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

Additional practice locations (1)

  • 2647 Waterfront Parkway East Dr Ste 200, Indianapolis, IN 46214-2020 — (317) 297-1007

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12010688A (IN)

Record details

NPI number1073783478
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 3, 2008
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address10972 Allisonville Rd, Suite 110, Fishers, IN 46038-2637

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Indiana Oral And Maxillofacial Surgery Associates Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Indianapolis