1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Dentist
  6. NPI Profile

IMMEDIADENT
NPI 1679966410
Dentist in Indianapolis, IN

Active since March 17, 2015
8906 ROCKVILLE RD, INDIANAPOLIS, IN 46234(317) 209-9077(866) 591-0604 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2017, Apr 12, 2017 (2 updates tracked since 2017).

About Immediadent NPPES

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

IMMEDIADENT (NPI 1679966410) is a healthcare organization registered as a dentist in Indianapolis, Indiana and active in the NPI registry since March 2015. The organization lists Monica L Long, Manager Of Provider Credentialing, as its authorized official.

NPPES Registry Identity

NPI1679966410
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameIMMEDIADENT OF INDIANA, P.C.
Location Address8906 ROCKVILLE RDIndianapolis, IN 46234-2732
Mailing AddressPo Box 11568Overland Park, KS 66207-4268 · (913) 428-1686 · Fax (866) 591-0604
Phone(317) 209-9077
Fax(866) 591-0604
Organization SubpartYes
Authorized OfficialMonica L LongManager Of Provider Credentialing · (913) 428-1686
Enumeration DateMarch 17, 2015
Last NPPES UpdateApril 27, 20172 updates tracked since enumeration
✔ NPI 1679966410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
8906 ROCKVILLE RD, Indianapolis, IN 46234
Open in Google Maps ↗

Other Names 1

Doing Business AsImmediadent

Other Identifiers 1

Medicaid200377170FIN

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 Immediadent Of Indiana, P.C.'s NPI number?

The NPI number for Immediadent Of Indiana, P.C. is 1679966410. It was assigned to this organization in the NPPES registry on March 17, 2015. The provider is doing business as Immediadent.

Where is Immediadent Of Indiana, P.C. located?

Immediadent Of Indiana, P.C. is located at 8906 Rockville Rd, Indianapolis, IN 46234. The listed phone number is (317) 209-9077.

What is Immediadent Of Indiana, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Immediadent Of Indiana, P.C. was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.