NORTHEAST DENTAL GROUP, INC
NPI 1710006143
Dentist - General Practice in Indianapolis, IN

Q: What is Northeast Dental Group, Inc's NPI number?

The NPI number for Northeast Dental Group, Inc is 1710006143. It was assigned to this organization in the NPPES registry on March 28, 2007.

Q: What is Northeast Dental Group, Inc's specialty?

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

Active since March 28, 2007

8202 CLEARVISTA PKWY, STE 10A, INDIANAPOLIS, IN 46256(317) 596-9700 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northeast Dental Group, Inc NPPES

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

NORTHEAST DENTAL GROUP, INC (NPI 1710006143) is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since March 2007. The organization lists Gerald A. Levin, President, as its authorized official.

NPPES Registry Identity

NPI1710006143

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameNORTHEAST DENTAL GROUP, INC

Location Address8202 CLEARVISTA PKWY, STE 10AIndianapolis, IN 46256-1400

Mailing Address8202 Clearvista Pkwy, Ste 10aIndianapolis, IN 46256-1400 · (317) 596-9700

Phone(317) 596-9700

Organization SubpartNo

Authorized OfficialGerald A. LevinPresident · (317) 596-9700

Enumeration DateMarch 28, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1710006143 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 · 12007689A

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.

8202 CLEARVISTA PKWY, Indianapolis, IN 46256

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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

Other Providers at the Same Location NPPES 20

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

JOHN M. PORTER DDS

Dentist (Oral and Maxillofacial Surgery)

8202 CLEARVISTA PKWY, BUILDING 5 SUITE B
INDIANAPOLIS, IN 46256

Marion County (317) 842-6333

CONNECT HEARING, INC.

Hearing Aid Equipment

8202 CLEARVISTA PKWY, STE 9C
INDIANAPOLIS, IN 46256

Marion County (317) 621-5713

MCCALL DENTURES OF IN, P.C.

Dentist

8202 CLEARVISTA PKWY, SUITE 4B
INDIANAPOLIS, IN 46256

Marion County (317) 596-9700

ALLERGY ASSOCIATES OF CENTRAL IN

Allergy & Immunology

8202 CLEARVISTA PKWY, 4A
INDIANAPOLIS, IN 46256

Marion County (317) 621-5460

DR. GERALD LEVIN DDS

Dentist (General Practice)

8202 CLEARVISTA PKWY, STE 10A
INDIANAPOLIS, IN 46256

Marion County (317) 596-9700

JOI RENEE CRENSHAW CPM, CDEM

Midwife

8202 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256

Marion County (317) 436-8306

DR. GARY NUNNALLY LCSW, DMIN

Social Worker (Clinical)

8202 CLEARVISTA PKWY, BLDG 7
INDIANAPOLIS, IN 46256

Marion County (317) 288-9942

PHILIP BRUCE LOCKHART JR. DDS

Dentist (General Practice)

8202 CLEARVISTA PKWY, BLDG 4 SUITE C
INDIANAPOLIS, IN 46256

Marion County (317) 849-9715

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 Northeast Dental Group, Inc's NPI number?

The NPI number for Northeast Dental Group, Inc is 1710006143. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Northeast Dental Group, Inc located?

Northeast Dental Group, Inc is located at 8202 Clearvista Pkwy Ste 10A, Indianapolis, IN 46256. The listed phone number is (317) 596-9700.

What is Northeast Dental Group, Inc'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 Northeast Dental Group, Inc 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.