GLENDALE FAMILY DENTISTRY, LLC
NPI 1013748615
Clinic/Center - Dental in Indianapolis, IN
About Glendale Family Dentistry, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENDALE FAMILY DENTISTRY, LLC (NPI 1013748615), doing business as Glendale Family Dentistry, is a healthcare organization registered as a dental in Indianapolis, Indiana and active in the NPI registry since August 2024. The organization lists Brandon Stafford, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Glendale Family Dentistry, LLC's NPI number?
The NPI number for Glendale Family Dentistry, LLC is 1013748615. It was assigned to this organization in the NPPES registry on August 13, 2024. The provider is doing business as Glendale Family Dentistry.
Where is Glendale Family Dentistry, LLC located?
Glendale Family Dentistry, LLC is located at 2620 E 62nd St, Indianapolis, IN 46220. The listed phone number is (507) 208-3987.
What is Glendale Family Dentistry, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
When was this NPI record last updated?
The NPPES record for Glendale Family Dentistry, LLC was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Glendale Family Dentistry, Llc · NPI 1013748615
Dental organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since August 13, 2024.
## Identity
- **NPI:** 1013748615 (Entity type: Organization)
- **Enumerated:** August 13, 2024
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Glendale Family Dentistry (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Brandon Stafford, OWNER
## Practice location
- **Address:** 2620 E 62ND ST, Indianapolis, IN 46220-2934
- **Phone:** (507) 208-3987
## Record status
- **NPPES last updated:** August 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1013748615) · Data from the CMS NPPES public registry.