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KIDS & ADULT DENTAL SOUTHPORT INC
NPI 1689553018
Dentist in Southport, IN

Active since August 29, 2025
7001 MADISON AVE, SOUTHPORT, IN 46227(317) 991-4725(317) 986-4097 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kids & Adult Dental Southport Inc NPPES

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

KIDS & ADULT DENTAL SOUTHPORT INC (NPI 1689553018), doing business as Kids & Adult Dental, is a healthcare organization registered as a dentist in Southport, Indiana and active in the NPI registry since August 2025. The organization lists Brandi Bibb, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1689553018
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameKIDS & ADULT DENTAL SOUTHPORT INC
Location Address7001 MADISON AVESouthport, IN 46227-5203
Mailing Address7001 Madison AveSouthport, IN 46227-5203 · (317) 991-4725 · Fax (317) 986-4097
Phone(317) 991-4725
Fax(317) 986-4097
Organization SubpartNo
Authorized OfficialBrandi BibbPractice Administrator · (317) 991-4725
Enumeration DateAugust 29, 2025
Last NPPES UpdateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1689553018 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.
7001 MADISON AVE, Southport, IN 46227
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Other Names 1

Doing Business AsKids & Adult Dental

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 Kids & Adult Dental Southport Inc's NPI number?

The NPI number for Kids & Adult Dental Southport Inc is 1689553018. It was assigned to this organization in the NPPES registry on August 29, 2025. The provider is doing business as Kids & Adult Dental.

Where is Kids & Adult Dental Southport Inc located?

Kids & Adult Dental Southport Inc is located at 7001 Madison Ave, Southport, IN 46227. The listed phone number is (317) 991-4725.

What is Kids & Adult Dental Southport Inc'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 Kids & Adult Dental Southport Inc was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.