Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LAK EAST INDY DENTAL LLC
NPI 1053225094
Dentist in Indianapolis, IN

Q: What is Lak East Indy Dental LLC's NPI number?

The NPI number for Lak East Indy Dental LLC is 1053225094. It was assigned to this organization in the NPPES registry on September 29, 2026.

Q: What is Lak East Indy Dental LLC's specialty?

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

Active since September 29, 2026

115 N SHORTRIDGE RD STE 200, INDIANAPOLIS, IN 46219(317) 353-1062 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Lak East Indy Dental Llc NPPES

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

LAK EAST INDY DENTAL LLC (NPI 1053225094) is a healthcare organization registered as a dentist in Indianapolis, Indiana and active in the NPI registry since September 2026. The organization lists Jacqueline Sue Newport, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053225094

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLAK EAST INDY DENTAL LLC

Location Address115 N SHORTRIDGE RD STE 200Indianapolis, IN 46219-4917

Mailing Address115 N Shortridge Rd Ste 200Indianapolis, IN 46219-4917 · (317) 353-1062

Phone(317) 353-1062

Organization SubpartNo

Authorized OfficialJacqueline Sue NewportOffice Manager · (317) 353-1062

Enumeration DateSeptember 29, 2026

NPPES CertifiedSeptember 29, 2026

✔ NPI 1053225094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

115 N SHORTRIDGE RD STE 200, Indianapolis, IN 46219

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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 Lak East Indy Dental LLC's NPI number?

The NPI number for Lak East Indy Dental LLC is 1053225094. It was assigned to this organization in the NPPES registry on September 29, 2026.

Where is Lak East Indy Dental LLC located?

Lak East Indy Dental LLC is located at 115 N Shortridge Rd Ste 200, Indianapolis, IN 46219. The listed phone number is (317) 353-1062.

What is Lak East Indy Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lak East Indy Dental LLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.