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ALLISONVILLE DENTAL CENTRE PC
NPI 1568520294
Dentist - General Practice in Indianapolis, IN

Active since December 05, 2006CLIA 15D2096053 · Waiver
2811 EAST 46TH STREET, INDIANAPOLIS, IN 46205(317) 547-5766(317) 547-5290 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Allisonville Dental Centre Pc NPPES

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

ALLISONVILLE DENTAL CENTRE PC (NPI 1568520294) is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Ronda Richelle Cox, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1568520294
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameALLISONVILLE DENTAL CENTRE PC
Location Address2811 EAST 46TH STREETIndianapolis, IN 46205-9999
Mailing Address2811 East 46th StreetIndianapolis, IN 46205-9999 · (317) 547-5766 · Fax (317) 547-5290
Phone(317) 547-5766
Fax(317) 547-5290
Organization SubpartNo
Authorized OfficialRonda Richelle CoxOffice Manager · (317) 547-5766
Enumeration DateDecember 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1568520294 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.
2811 EAST 46TH STREET, Indianapolis, IN 46205
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2096053

Allisonville · Indianapolis, IN
Active · expires Aug 26, 2027
CLIA Number15D2096053
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorJeff Rubin
Laboratory Phone(317) 258-6041
Laboratory LocationAllisonville5011 Allisonville Road, Indianapolis, IN 46205
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Allisonville Dental Centre PC's NPI number?

The NPI number for Allisonville Dental Centre PC is 1568520294. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Allisonville Dental Centre PC located?

Allisonville Dental Centre PC is located at 2811 East 46th Street, Indianapolis, IN 46205. The listed phone number is (317) 547-5766.

What is Allisonville Dental Centre PC's specialty?

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

Does Allisonville Dental Centre PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2096053) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Allisonville Dental Centre PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.