OLIVE BRANCH DENTAL-1 LLC
NPI 1356002778
Dentist - General Practice in Indianapolis, IN

Active since January 07, 2022
5470 LAFAYETTE RD, INDIANAPOLIS, IN 46254(317) 643-7777(317) 933-8454 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Olive Branch Dental-1 Llc NPPES

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

OLIVE BRANCH DENTAL-1 LLC (NPI 1356002778), doing business as Olive Branch Dental Lafayette Rd, is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since January 2022. The organization lists Srinivas Durshanapalli, President, as its authorized official.

NPPES Registry Identity

NPI1356002778
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOLIVE BRANCH DENTAL-1 LLC
Location Address5470 LAFAYETTE RDIndianapolis, IN 46254-1620
Mailing Address5470 Lafayette RdIndianapolis, IN 46254-1620 · (317) 643-7777 · Fax (317) 933-8454
Fax(317) 933-8454
Organization SubpartNo
Authorized OfficialSrinivas DurshanapalliPresident · (217) 303-5955
Enumeration DateJanuary 7, 2022
NPPES CertifiedJanuary 7, 2022
NPI 1356002778 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.
5470 LAFAYETTE RD, Indianapolis, IN 46254

Other Names 1

Doing Business AsOlive Branch Dental Lafayette Rd

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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.

Clinic/Center (Dental)
5470 LAFAYETTE RD
INDIANAPOLIS, IN 46254
Dentist
5470 LAFAYETTE RD
INDIANAPOLIS, IN 46254
Dentist (General Practice)
5470 LAFAYETTE RD
INDIANAPOLIS, IN 46254
Dentist (General Practice)
5470 LAFAYETTE RD
INDIANAPOLIS, IN 46254
Dentist
5470 LAFAYETTE RD
INDIANAPOLIS, IN 46254

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 Olive Branch Dental-1 LLC's NPI number?

The NPI number for Olive Branch Dental-1 LLC is 1356002778. It was assigned to this organization in the NPPES registry on January 7, 2022. The provider is doing business as Olive Branch Dental Lafayette Rd.

Where is Olive Branch Dental-1 LLC located?

Olive Branch Dental-1 LLC is located at 5470 Lafayette Rd, Indianapolis, IN 46254. The listed phone number is (317) 643-7777.

What is Olive Branch Dental-1 LLC's specialty?

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

What insurance does Olive Branch Dental-1 LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, DentaQuest USA Insurance and UnitedHealthcare list Olive Branch Dental-1 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 Olive Branch Dental-1 LLC was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.