LOULY DENTISTRY, INC
NPI 1003104043
Dentist in Indianapolis, IN

Q: What is Louly Dentistry, Inc's NPI number?

The NPI number for Louly Dentistry, Inc is 1003104043. It was assigned to this organization in the NPPES registry on July 12, 2011.

Q: What is Louly Dentistry, Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 12, 2011

11530 E WASHINGTON STREET, INDIANAPOLIS, IN 46229(317) 869-0000(317) 869-0233 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Louly Dentistry, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOULY DENTISTRY, INC (NPI 1003104043) is a healthcare organization registered as a dentist in Indianapolis, Indiana and active in the NPI registry since July 2011. The organization lists Ammar C. Louly, President, as its authorized official.

NPPES Registry Identity

NPI1003104043

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLOULY DENTISTRY, INC

Location Address11530 E WASHINGTON STREETIndianapolis, IN 46229-2828

Mailing Address11530 E Washington StreetIndianapolis, IN 46229-2828 · (317) 869-0000 · Fax (317) 869-0233

Phone(317) 869-0000

Fax(317) 869-0233

Organization SubpartNo

Authorized OfficialAmmar C. LoulyPresident · (317) 869-0000

Enumeration DateJuly 12, 2011

Last NPPES UpdateMay 25, 2023

NPPES CertifiedMay 25, 2023

✔ NPI 1003104043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License 12009247A (IN)

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

11530 E WASHINGTON STREET, Indianapolis, IN 46229

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Louly Dentistry, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Louly Dentistry, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ammar Louly, DDS

Oral Surgery

NPI 1699808899

11530 E WASHINGTON STREET
Indianapolis, IN 46229

(317) 869-0000

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Louly Dentistry, Inc's NPI number?

The NPI number for Louly Dentistry, Inc is 1003104043. It was assigned to this organization in the NPPES registry on July 12, 2011.

Where is Louly Dentistry, Inc located?

Louly Dentistry, Inc is located at 11530 E Washington Street, Indianapolis, IN 46229. The listed phone number is (317) 869-0000.

What is Louly Dentistry, Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Louly Dentistry, Inc enrolled in Medicare?

Yes. Louly Dentistry, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Louly Dentistry, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Louly Dentistry, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Louly Dentistry, Inc was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.