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OLIVE BRANCH DENTAL
NPI 1053904409
Dentist - General Practice in Greenwood, IN

Active since February 17, 2021
2826 S STATE ROAD 135 STE C, GREENWOOD, IN 46143(317) 743-7777(317) 854-6577 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2021, Feb 17, 2021 (2 updates tracked since 2021).

About Olive Branch Dental NPPES

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

OLIVE BRANCH DENTAL (NPI 1053904409) is a healthcare organization registered as a general practice in Greenwood, Indiana and active in the NPI registry since February 2021. The organization lists Srinivas Durshanapalli, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1053904409
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOLIVE BRANCH DENTAL LLC
Location Address2826 S STATE ROAD 135 STE CGreenwood, IN 46143-9603
Mailing Address2826 S State Road 135 Ste CGreenwood, IN 46143-9603
Phone(317) 743-7777
Fax(317) 854-6577
Organization SubpartNo
Authorized OfficialSrinivas DurshanapalliManaging Partner · (217) 303-5955
Enumeration DateFebruary 17, 2021
Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1053904409 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.
2826 S STATE ROAD 135 STE C, Greenwood, IN 46143
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Other Names 1

Doing Business AsOlive Branch Dental

Group Practice 1

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ONE FAMILY DENTAL
Clinic/Center (Dental)
2826 S STATE ROAD 135 STE C
GREENWOOD, IN 46143
Johnson County (260) 750-0418
VIDHI RAKESHKUMAR PATEL
Dentist
2826 S STATE ROAD 135 STE C
GREENWOOD, IN 46143
Johnson County (317) 743-7777

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 Olive Branch Dental LLC's NPI number?

The NPI number for Olive Branch Dental LLC is 1053904409. It was assigned to this organization in the NPPES registry on February 17, 2021. The provider is doing business as Olive Branch Dental.

Where is Olive Branch Dental LLC located?

Olive Branch Dental LLC is located at 2826 S State Road 135 Ste C, Greenwood, IN 46143. The listed phone number is (317) 743-7777.

What is Olive Branch Dental LLC's specialty?

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

What insurance does Olive Branch Dental LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Olive Branch Dental 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 Olive Branch Dental LLC was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.