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INDY EAST PERIODONTICS PC
NPI 1164726832
Dentist - Periodontics in Indianapolis, IN

Active since January 10, 2011
115 N SHORTRIDGE RD STE 100, INDIANAPOLIS, IN 46219(317) 357-2235(317) 357-2210 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Indy East Periodontics Pc NPPES

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

INDY EAST PERIODONTICS PC (NPI 1164726832) is a healthcare organization registered as a periodontics in Indianapolis, Indiana and active in the NPI registry since January 2011. The organization lists Stephen C. Koehler, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1164726832
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameINDY EAST PERIODONTICS PC
Location Address115 N SHORTRIDGE RD STE 100Indianapolis, IN 46219-4917
Mailing Address115 N Shortridge Rd Ste 100Indianapolis, IN 46219-4917 · (317) 357-2235 · Fax (317) 357-2210
Phone(317) 357-2235
Fax(317) 357-2210
Organization SubpartNo
Authorized OfficialStephen C. KoehlerPeriodontist · (317) 357-2235
Enumeration DateJanuary 10, 2011
✔ NPI 1164726832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
115 N SHORTRIDGE RD STE 100, Indianapolis, IN 46219
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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

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.

GLENDALE LIM DDS
Dentist (Periodontics)
115 N SHORTRIDGE RD STE 100
INDIANAPOLIS, IN 46219
Marion County (317) 357-2235
BRITTANY A LANE DDS MSD LLC
Dentist (Periodontics)
115 N SHORTRIDGE RD STE 100
INDIANAPOLIS, IN 46219
Marion County (317) 357-2235

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 Indy East Periodontics PC's NPI number?

The NPI number for Indy East Periodontics PC is 1164726832. It was assigned to this organization in the NPPES registry on January 10, 2011.

Where is Indy East Periodontics PC located?

Indy East Periodontics PC is located at 115 N Shortridge Rd Ste 100, Indianapolis, IN 46219. The listed phone number is (317) 357-2235.

What is Indy East Periodontics PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Indy East Periodontics PC was last updated on January 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.