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

Tavian Simmons, DDS

Individual provider General Practice Dentistry · NPI 1851038384

Tavian Simmons, DDS is a General Practice Dentistry in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana and North Carolina.

Licensed in
IN, NC
In the registry since
2022
Specialties on file
3
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.

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Practice location Address checks out

550 N University Blvd Ste 3195
Indianapolis, IN 46202-0001
Phone: (317) 274-5315
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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 12014152A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12736 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851038384
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 16, 2022
Last updated in NPPESJune 26, 2023
Certification dateMay 31, 2022
Mailing address6729 Stanhope Dr, Indianapolis, IN 46254

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