POPLAR PEDIATRIC DENTISTRY LLC
NPI 1124804042
Dentist - Pediatric Dentistry in Lebanon, IN

Q: What is Poplar Pediatric Dentistry LLC's NPI number?

The NPI number for Poplar Pediatric Dentistry LLC is 1124804042. It was assigned to this organization in the NPPES registry on September 6, 2023.

Q: What is Poplar Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since September 06, 2023

1667 N LEBANON ST, LEBANON, IN 46052(317) 939-6558 Get Directions Write a Review

NPPES record last updated: January 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 1, 2024, Sep 6, 2023 (2 updates tracked since 2023).

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About Poplar Pediatric Dentistry Llc NPPES

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

POPLAR PEDIATRIC DENTISTRY LLC (NPI 1124804042) is a healthcare organization registered as a pediatric dentistry in Lebanon, Indiana and active in the NPI registry since September 2023. The organization lists Katelyn Brauer, Owner, as its authorized official.

NPPES Registry Identity

NPI1124804042

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePOPLAR PEDIATRIC DENTISTRY LLC

Location Address1667 N LEBANON STLebanon, IN 46052-1515

Mailing Address6828 W Stonegate DrZionsville, IN 46077-8023 · (317) 939-6558

Phone(317) 939-6558

Organization SubpartYes

Authorized OfficialKatelyn BrauerOwner · (317) 939-6558

Enumeration DateSeptember 6, 2023

Last NPPES UpdateJanuary 1, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 1, 2024

✔ NPI 1124804042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1667 N LEBANON ST, Lebanon, IN 46052

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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 Poplar Pediatric Dentistry LLC's NPI number?

The NPI number for Poplar Pediatric Dentistry LLC is 1124804042. It was assigned to this organization in the NPPES registry on September 6, 2023.

Where is Poplar Pediatric Dentistry LLC located?

Poplar Pediatric Dentistry LLC is located at 1667 N Lebanon St, Lebanon, IN 46052. The listed phone number is (317) 939-6558.

What is Poplar Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Poplar Pediatric Dentistry LLC was last updated on January 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.