SPARK DENTAL IN, LLC
NPI 1679282743
Dentist - Orthodontics and Dentofacial Orthopedics in Indianapolis, IN

Active since November 17, 2022
9602 E WASHINGTON ST STE B, INDIANAPOLIS, IN 46229(317) 898-7645 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spark Dental In, Llc NPPES

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

SPARK DENTAL IN, LLC (NPI 1679282743), doing business as Werner Orthodontics, is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Indianapolis, Indiana and active in the NPI registry since November 2022. The organization lists Phi Le, Credentialing Manaer, as its authorized official.

NPPES Registry Identity

NPI1679282743
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameSPARK DENTAL IN, LLC
Location Address9602 E WASHINGTON ST STE BIndianapolis, IN 46229-3060
Mailing Address300 Willowbrook Ln Ste 330West Chester, PA 19382-5594 · (267) 575-2321
Organization SubpartNo
Authorized OfficialPhi LeCredentialing Manaer · (267) 575-2321
Enumeration DateNovember 17, 2022
NPPES CertifiedNovember 17, 2022
NPI 1679282743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
9602 E WASHINGTON ST STE B, Indianapolis, IN 46229

Other Names 1

Doing Business AsWerner Orthodontics

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

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
9602 E WASHINGTON ST STE B
INDIANAPOLIS, IN 46229

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 Spark Dental In, LLC's NPI number?

The NPI number for Spark Dental In, LLC is 1679282743. It was assigned to this organization in the NPPES registry on November 17, 2022. The provider is doing business as Werner Orthodontics.

Where is Spark Dental In, LLC located?

Spark Dental In, LLC is located at 9602 E Washington St Ste B, Indianapolis, IN 46229. The listed phone number is (317) 898-7645.

What is Spark Dental In, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Spark Dental In, LLC was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.