FORTVILLE FAMILY DENISTRY LLC
NPI 1063657187
Dentist in Fortville, IN

Q: What is Fortville Family Denistry LLC's NPI number?

The NPI number for Fortville Family Denistry LLC is 1063657187. It was assigned to this organization in the NPPES registry on December 3, 2008.

Q: What is Fortville Family Denistry LLC's specialty?

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

Active since December 03, 2008

14 S MAIN ST, FORTVILLE, IN 46040(317) 485-5251 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fortville Family Denistry Llc NPPES

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

FORTVILLE FAMILY DENISTRY LLC (NPI 1063657187) is a healthcare organization registered as a dentist in Fortville, Indiana and active in the NPI registry since December 2008. The organization lists Bradley Paul Laconi, Owner, as its authorized official.

NPPES Registry Identity

NPI1063657187

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameFORTVILLE FAMILY DENISTRY LLC

Location Address14 S MAIN STFortville, IN 46040-1315

Mailing Address14 S Main StFortville, IN 46040-1315 · (317) 485-5251

Phone(317) 485-5251

Organization SubpartNo

Authorized OfficialBradley Paul LaconiOwner · (317) 485-5251

Enumeration DateDecember 3, 2008

✔ NPI 1063657187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12008802B

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.

14 S MAIN ST, Fortville, IN 46040

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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 Fortville Family Denistry LLC's NPI number?

The NPI number for Fortville Family Denistry LLC is 1063657187. It was assigned to this organization in the NPPES registry on December 3, 2008.

Where is Fortville Family Denistry LLC located?

Fortville Family Denistry LLC is located at 14 S Main St, Fortville, IN 46040. The listed phone number is (317) 485-5251.

What is Fortville Family Denistry 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 Fortville Family Denistry LLC was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.