LAKEWOOD FAMILY DENTAL OF INDIANAPOLIS LLC
NPI 1194213207
Dentist - General Practice in Indianapolis, IN

Q: What is Lakewood Family Dental Of Indianapolis LLC's specialty?

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

Active since April 24, 2018

3443 W 86TH ST STE C, INDIANAPOLIS, IN 46268(732) 379-0953 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lakewood Family Dental Of Indianapolis Llc NPPES

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

LAKEWOOD FAMILY DENTAL OF INDIANAPOLIS LLC (NPI 1194213207) is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since April 2018. The organization lists Srinivasulu Kakollu, President, as its authorized official.

NPPES Registry Identity

NPI1194213207

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLAKEWOOD FAMILY DENTAL OF INDIANAPOLIS LLC

Location Address3443 W 86TH ST STE CIndianapolis, IN 46268-1991

Mailing Address8777 Purdue Rd Ste 115Indianapolis, IN 46268-3104

Phone(732) 379-0953

Organization SubpartNo

Authorized OfficialSrinivasulu KakolluPresident · (732) 379-0953

Enumeration DateApril 24, 2018

✔ NPI 1194213207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

3443 W 86TH ST STE C, Indianapolis, IN 46268

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Lakewood Family Dental Of Indianapolis LLC's NPI number?

The NPI number for Lakewood Family Dental Of Indianapolis LLC is 1194213207. It was assigned to this organization in the NPPES registry on April 24, 2018.

Where is Lakewood Family Dental Of Indianapolis LLC located?

Lakewood Family Dental Of Indianapolis LLC is located at 3443 W 86th St Ste C, Indianapolis, IN 46268. The listed phone number is (732) 379-0953.

What is Lakewood Family Dental Of Indianapolis LLC's specialty?

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

What insurance does Lakewood Family Dental Of Indianapolis LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, DentaQuest USA Insurance and UnitedHealthcare list Lakewood Family Dental Of Indianapolis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakewood Family Dental Of Indianapolis LLC was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.