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PARK PEDIATRIC DENTISTRY LLC
NPI 1730610833
Dentist - Pediatric Dentistry in Greenwood, IN

Active since March 21, 2017
1700 W SMITH VALLEY RD, SUITE B1, GREENWOOD, IN 46142(317) 627-1755 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Pediatric Dentistry Llc NPPES

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

PARK PEDIATRIC DENTISTRY LLC (NPI 1730610833) is a healthcare organization registered as a pediatric dentistry in Greenwood, Indiana and active in the NPI registry since March 2017. The organization lists Lesa Allison, Owner, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1730610833
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePARK PEDIATRIC DENTISTRY LLC
Location Address1700 W SMITH VALLEY RD, SUITE B1Greenwood, IN 46142-1599
Mailing AddressPo Box 441143Indianapolis, IN 46244-1143
Phone(317) 627-1755
Organization SubpartNo
Authorized OfficialLesa AllisonOwner, Managing Member · (317) 627-1755
Enumeration DateMarch 21, 2017
✔ NPI 1730610833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IN · 12011836A
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1700 W SMITH VALLEY RD, Greenwood, IN 46142
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

SERENITY COUNSELING COACHING AND CONSULTING LLC
Counselor (Mental Health)
1700 W SMITH VALLEY RD
GREENWOOD, IN 46142
Johnson County (812) 345-2205
DR. STEPHANIE BROOKE SHANK DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
1700 W SMITH VALLEY RD, SUITE A-1
GREENWOOD, IN 46142
Johnson County (317) 888-9833
DERMATOLOGY ASSOCIATES OF INDY LLC
Dermatology
1700 W SMITH VALLEY RD, STE. B
GREENWOOD, IN 46142
Johnson County (855) 492-6333
LAURA MICHELLE ST. JOHN R.N.
Registered Nurse
1700 W SMITH VALLEY RD, STE. C-1
GREENWOOD, IN 46142
Johnson County (317) 882-3370
SHANK ORTHODONTICS, LLC
Clinic/Center (Dental)
1700 W SMITH VALLEY RD, SUITE A-1
GREENWOOD, IN 46142
Johnson County (317) 888-9833

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 Park Pediatric Dentistry LLC's NPI number?

The NPI number for Park Pediatric Dentistry LLC is 1730610833. It was assigned to this organization in the NPPES registry on March 21, 2017.

Where is Park Pediatric Dentistry LLC located?

Park Pediatric Dentistry LLC is located at 1700 W Smith Valley Rd Suite B1, Greenwood, IN 46142. The listed phone number is (317) 627-1755.

What is Park Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Park Pediatric Dentistry LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, DentaQuest USA Insurance and UnitedHealthcare list Park Pediatric Dentistry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Park Pediatric Dentistry LLC was last updated on March 21, 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.