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PRIME SMILE EAST
NPI 1013952696
Dentist - General Practice in Indianapolis, IN

Active since June 18, 2006
5430 EAST WASHINGTON STREET, SUITE 101, INDIANAPOLIS, IN 46219(317) 322-1840(615) 986-1705 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prime Smile East NPPES

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

PRIME SMILE EAST (NPI 1013952696) is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since June 2006. The organization lists Helen K. Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1013952696
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameINDY EAST SMILES YOUTH DENTISTRY LLC
Location Address5430 EAST WASHINGTON STREET, SUITE 101Indianapolis, IN 46219
Mailing Address5430 East Washington Street, Suite 101Indianapolis, IN 46219 · (317) 322-1840 · Fax (615) 986-1705
Phone(317) 322-1840
Fax(615) 986-1705
Organization SubpartNo
Authorized OfficialHelen K. PetersonOwner · (317) 322-1840
Enumeration DateJune 18, 2006
Last NPPES UpdateJune 24, 2019
✔ NPI 1013952696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5430 EAST WASHINGTON STREET, Indianapolis, IN 46219
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Other Names 1

Doing Business AsPrime Smile East

Other Identifiers 1

Medicaid200361860AIN

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Indy East Smiles Youth Dentistry LLC's NPI number?

The NPI number for Indy East Smiles Youth Dentistry LLC is 1013952696. It was assigned to this organization in the NPPES registry on June 18, 2006. The provider is doing business as Prime Smile East.

Where is Indy East Smiles Youth Dentistry LLC located?

Indy East Smiles Youth Dentistry LLC is located at 5430 East Washington Street Suite 101, Indianapolis, IN 46219. The listed phone number is (317) 322-1840.

What is Indy East Smiles Youth Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Indy East Smiles Youth Dentistry LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and DentaQuest USA Insurance list Indy East Smiles Youth Dentistry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Indy East Smiles Youth Dentistry LLC was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.