DETAIL DENTAL
NPI 1336792977
Clinic/Center - Dental in Indianapolis, IN

Active since July 23, 2019
1030 COUNTRY CLUB RD, INDIANAPOLIS, IN 46234(617) 271-1486 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2019, Jul 23, 2019 (2 updates tracked since 2019).

About Detail Dental NPPES

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

DETAIL DENTAL (NPI 1336792977) is a healthcare organization registered as a dental in Indianapolis, Indiana and active in the NPI registry since July 2019. The organization lists Chris Chrisler, Owner, as its authorized official.

NPPES Registry Identity

NPI1336792977
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDETAIL DENTAL
Location Address1030 COUNTRY CLUB RDIndianapolis, IN 46234-1813
Mailing Address1030 Country Club RdIndianapolis, IN 46234-1813
Organization SubpartNo
Authorized OfficialChris ChrislerOwner · (617) 617-9644
Enumeration DateJuly 23, 2019
Last NPPES UpdateNovember 20, 20192 updates tracked since enumeration
NPI 1336792977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1030 COUNTRY CLUB RD, Indianapolis, IN 46234

Other Names 2

Former Legal Business NameDetail Dental
Other NameDetail Dental, Llc

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
1030 COUNTRY CLUB RD
INDIANAPOLIS, IN 46234
Dentist
1030 COUNTRY CLUB RD
INDIANAPOLIS, IN 46234
Dentist
1030 COUNTRY CLUB RD
INDIANAPOLIS, IN 46234

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 Detail Dental's NPI number?

The NPI number for Detail Dental is 1336792977. It was assigned to this organization in the NPPES registry on July 23, 2019. The provider is also known as Detail Dental, LLC.

Where is Detail Dental located?

Detail Dental is located at 1030 Country Club Rd, Indianapolis, IN 46234. The listed phone number is (617) 271-1486.

What is Detail Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Detail Dental was last updated on November 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.