IMMEDIADENT
NPI 1194193078
Dentist in Clarksville, IN

Q: What is Immediadent Of Indiana, PC's NPI number?

The NPI number for Immediadent Of Indiana, PC is 1194193078. It was assigned to this organization in the NPPES registry on September 9, 2015. The provider is doing business as Immediadent.

Q: What is Immediadent Of Indiana, PC's specialty?

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

Active since September 09, 2015

1160 E LEWIS AND CLARK PKWY, CLARKSVILLE, IN 47129(812) 284-4040(913) 800-6967 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Immediadent NPPES

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

IMMEDIADENT (NPI 1194193078) is a healthcare organization registered as a dentist in Clarksville, Indiana and active in the NPI registry since September 2015. The organization lists Amy Wheeler, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1194193078

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameIMMEDIADENT OF INDIANA, PC

Location Address1160 E LEWIS AND CLARK PKWYClarksville, IN 47129-7735

Mailing AddressPo Box 11568Overland Park, KS 66207-4268 · (913) 800-6952 · Fax (913) 800-6967

Phone(812) 284-4040

Fax(913) 800-6967

Organization SubpartNo

Authorized OfficialAmy WheelerCredentialing Coordinator · (913) 800-6952

Enumeration DateSeptember 9, 2015

✔ NPI 1194193078 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.

1160 E LEWIS AND CLARK PKWY, Clarksville, IN 47129

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Other Names 1

Doing Business AsImmediadent

Other Identifiers 1

Medicaid200377170IN

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.

ERIN ELIZABETH DUNAWAY DMD

Dentist

1160 E LEWIS AND CLARK PKWY
CLARKSVILLE, IN 47129

Clark County (812) 284-4040

IMMEDIADENT OF INDIANA, P.C.

Dentist

1160 E LEWIS AND CLARK PKWY
CLARKSVILLE, IN 47129

Clark County (812) 945-4040

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 Immediadent Of Indiana, PC's NPI number?

The NPI number for Immediadent Of Indiana, PC is 1194193078. It was assigned to this organization in the NPPES registry on September 9, 2015. The provider is doing business as Immediadent.

Where is Immediadent Of Indiana, PC located?

Immediadent Of Indiana, PC is located at 1160 E Lewis And Clark Pkwy, Clarksville, IN 47129. The listed phone number is (812) 284-4040.

What is Immediadent Of Indiana, PC'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 Immediadent Of Indiana, PC was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.