1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Dentist
  6. NPI Profile

IMMEDIADENT
NPI 1063560555
Dentist in Indianapolis, IN

Active since January 08, 2007
3269 W. 86TH STREET, SUITE A-2, INDIANAPOLIS, IN 46268(317) 542-3440(913) 800-6967 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Immediadent NPPES

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

IMMEDIADENT (NPI 1063560555) is a healthcare organization registered as a dentist in Indianapolis, Indiana and active in the NPI registry since January 2007. The organization lists Amy Wheeler, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1063560555
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameIMMEDIADENT OF INDIANA, P.C.
Location Address3269 W. 86TH STREET, SUITE A-2Indianapolis, IN 46268-3822
Mailing AddressPo Box 11568Overland Park, KS 66207-4268 · (913) 428-1674 · Fax (913) 800-6967
Phone(317) 542-3440
Fax(913) 800-6967
Organization SubpartYes
Authorized OfficialAmy WheelerCredentialing Coordinator · (913) 800-6952
Enumeration DateJanuary 8, 2007
Last NPPES UpdateApril 12, 2017
✔ NPI 1063560555 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.
3269 W. 86TH STREET, Indianapolis, IN 46268
Open in Google Maps ↗

Other Names 1

Doing Business AsImmediadent

Other Identifiers 1

Medicaid200377170IN

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

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 Immediadent Of Indiana, P.C.'s NPI number?

The NPI number for Immediadent Of Indiana, P.C. is 1063560555. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Immediadent.

Where is Immediadent Of Indiana, P.C. located?

Immediadent Of Indiana, P.C. is located at 3269 W. 86th Street Suite A-2, Indianapolis, IN 46268. The listed phone number is (317) 542-3440.

What is Immediadent Of Indiana, P.C.'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 Immediadent Of Indiana, P.C. was last updated on April 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.