IMMEDIADENT
NPI 1154508331
Dentist in New Albany, IN

Q: What is Immediadent Of Indiana, P.C.'s NPI number?

The NPI number for Immediadent Of Indiana, P.C. is 1154508331. It was assigned to this organization in the NPPES registry on January 30, 2008. The provider is doing business as Immediadent.

Q: What is Immediadent Of Indiana, P.C.'s specialty?

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

Active since January 30, 2008

360 NEW ALBANY PLZ, NEW ALBANY, IN 47150(812) 945-4040(866) 591-0604 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2017, Apr 12, 2017 (2 updates tracked since 2017).

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About Immediadent NPPES

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

IMMEDIADENT (NPI 1154508331) is a healthcare organization registered as a dentist in New Albany, Indiana and active in the NPI registry since January 2008. The organization lists Monica L Long, Manager Of Provider Credentialing, as its authorized official.

NPPES Registry Identity

NPI1154508331

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameIMMEDIADENT OF INDIANA, P.C.

Location Address360 NEW ALBANY PLZNew Albany, IN 47150-4654

Mailing AddressPo Box 11568Overland Park, KS 66207-4268 · (913) 428-1686 · Fax (866) 591-0604

Phone(812) 945-4040

Fax(866) 591-0604

Organization SubpartYes

Authorized OfficialMonica L LongManager Of Provider Credentialing · (913) 428-1686

Enumeration DateJanuary 30, 2008

Last NPPES UpdateApril 28, 20172 updates tracked since enumeration

✔ NPI 1154508331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12010746A

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.

360 NEW ALBANY PLZ, New Albany, IN 47150

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Other Names 1

Doing Business AsImmediadent

Other Identifiers 1

Medicaid200377170IIN

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMMEDIADENT OF INDIANA, PC

Dentist