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BROAD RIPPLE FAMILY DENTAL, LLC
NPI 1073840393
Dentist - General Practice in Indianapolis, IN

Active since November 06, 2009
6117 N COLLEGE AVE, INDIANAPOLIS, IN 46220(317) 257-3368 Get Directions Write a Review

NPPES record last updated: November 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broad Ripple Family Dental, Llc NPPES

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

BROAD RIPPLE FAMILY DENTAL, LLC (NPI 1073840393) is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since November 2009. The organization lists Gina Elrod, Dentist, as its authorized official.

NPPES Registry Identity

NPI1073840393
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROAD RIPPLE FAMILY DENTAL, LLC
Location Address6117 N COLLEGE AVEIndianapolis, IN 46220-2233
Mailing Address6117 N. CollegeIndianapolis, IN 46220 · (317) 257-3368
Phone(317) 257-3368
Organization SubpartNo
Authorized OfficialGina ElrodDentist · (317) 257-3368
Enumeration DateNovember 6, 2009
✔ NPI 1073840393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IN · 12010357A✔ Licensed in IN · 12007547A✔ Licensed in IN · 12010049A
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.
6117 N COLLEGE AVE, Indianapolis, IN 46220
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Other Identifiers 1

Medicaid100061910AIN

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 MULTIPLE 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.

INDIANA CENTER FOR SURGICAL ARTS
Dentist (Oral and Maxillofacial Surgery)
6117 N COLLEGE AVE, SUITE 4
INDIANAPOLIS, IN 46220
Marion County (317) 257-5442
DR. GARY L BRESLAUER DDS
Dental Assistant
6117 N COLLEGE AVE
INDIANAPOLIS, ID 46220
Marion County (317) 257-3368

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 Broad Ripple Family Dental, LLC's NPI number?

The NPI number for Broad Ripple Family Dental, LLC is 1073840393. It was assigned to this organization in the NPPES registry on November 6, 2009.

Where is Broad Ripple Family Dental, LLC located?

Broad Ripple Family Dental, LLC is located at 6117 N College Ave, Indianapolis, IN 46220. The listed phone number is (317) 257-3368.

What is Broad Ripple Family Dental, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Broad Ripple Family Dental, LLC was last updated on November 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.