MADISON AVE DENTAL LLC
NPI 1063993582
Dentist in Greenwood, IN

Active since August 23, 2018
701 N MADISON AVE, GREENWOOD, IN 46142(317) 881-4305 Get Directions Write a Review

NPPES record last updated: December 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2020, Aug 23, 2018 (2 updates tracked since 2018).

About Madison Ave Dental Llc NPPES

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

MADISON AVE DENTAL LLC (NPI 1063993582) is a healthcare organization registered as a dentist in Greenwood, Indiana and active in the NPI registry since August 2018. The organization lists Kurush Savabi, Owner, as its authorized official.

NPPES Registry Identity

NPI1063993582
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMADISON AVE DENTAL LLC
Location Address701 N MADISON AVEGreenwood, IN 46142-4126
Mailing Address701 N Madison AveGreenwood, IN 46142-4126 · (317) 881-4305
Organization SubpartNo
Authorized OfficialKurush SavabiOwner · (317) 417-7486
Enumeration DateAugust 23, 2018
Last NPPES UpdateDecember 6, 20202 updates tracked since enumeration
NPPES CertifiedDecember 6, 2020
NPI 1063993582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IN · 12011832A
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.
701 N MADISON AVE, Greenwood, IN 46142

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

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.

Dentist (General Practice)
701 N MADISON AVE
GREENWOOD, IN 46142
Dentist
701 N MADISON AVE
GREENWOOD, IN 46142

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 Madison Ave Dental LLC's NPI number?

The NPI number for Madison Ave Dental LLC is 1063993582. It was assigned to this organization in the NPPES registry on August 23, 2018.

Where is Madison Ave Dental LLC located?

Madison Ave Dental LLC is located at 701 N Madison Ave, Greenwood, IN 46142. The listed phone number is (317) 881-4305.

What is Madison Ave 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 Madison Ave Dental LLC was last updated on December 6, 2020. 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.