MASTERS FAMILY DENTISTRY
NPI 1578836821
Dentist - General Practice in Indianapolis, IN

Active since February 17, 2012
5170 COMMERCE CIR, INDIANAPOLIS, IN 46237(317) 881-2500(317) 881-3308 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Masters Family Dentistry NPPES

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

MASTERS FAMILY DENTISTRY (NPI 1578836821) is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since February 2012. The organization lists Jacob Lee Masters, Owner, as its authorized official.

NPPES Registry Identity

NPI1578836821
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMASTERS FAMILY DENTISTRY OF SOUTHPORT
Location Address5170 COMMERCE CIRIndianapolis, IN 46237-9744
Mailing Address5170 Commerce CirIndianapolis, IN 46237-9744 · (317) 881-2500 · Fax (317) 881-3308
Fax(317) 881-3308
Organization SubpartNo
Authorized OfficialJacob Lee MastersOwner · (317) 881-2500
Enumeration DateFebruary 17, 2012
NPI 1578836821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12011008A
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.
5170 COMMERCE CIR, Indianapolis, IN 46237

Other Names 1

Doing Business AsMasters Family Dentistry

Other Identifiers 1

Medicaid200863620AIN

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

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 Masters Family Dentistry Of Southport's NPI number?

The NPI number for Masters Family Dentistry Of Southport is 1578836821. It was assigned to this organization in the NPPES registry on February 17, 2012. The provider is doing business as Masters Family Dentistry.

Where is Masters Family Dentistry Of Southport located?

Masters Family Dentistry Of Southport is located at 5170 Commerce Cir, Indianapolis, IN 46237. The listed phone number is (317) 881-2500.

What is Masters Family Dentistry Of Southport's specialty?

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

When was this NPI record last updated?

The NPPES record for Masters Family Dentistry Of Southport was last updated on February 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.