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EASTERN INDIANA PEDIATRIC DENTISTRY, LLC
NPI 1760616114
Dentist - Pediatric Dentistry in Connersville, IN

Active since May 13, 2009
724 N GRAND AVE, CONNERSVILLE, IN 47331(765) 825-2051 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastern Indiana Pediatric Dentistry, Llc NPPES

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

EASTERN INDIANA PEDIATRIC DENTISTRY, LLC (NPI 1760616114) is a healthcare organization registered as a pediatric dentistry in Connersville, Indiana and active in the NPI registry since May 2009. The organization lists Charles Poland, Member, as its authorized official.

NPPES Registry Identity

NPI1760616114
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameEASTERN INDIANA PEDIATRIC DENTISTRY, LLC
Location Address724 N GRAND AVEConnersville, IN 47331-2015
Mailing Address1840 Summerlakes CtCarmel, IN 46032-9392 · (317) 566-8183
Phone(765) 825-2051
Organization SubpartNo
Authorized OfficialCharles PolandMember · (317) 566-8183
Enumeration DateMay 13, 2009
✔ NPI 1760616114 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 · 12006522B
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.
724 N GRAND AVE, Connersville, IN 47331
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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

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

DR. JOHN RANDALL ROBERTS D.D.S.
Dentist (General Practice)
724 N GRAND AVE
CONNERSVILLE, IN 47331
Fayette County (765) 825-2051

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 Eastern Indiana Pediatric Dentistry, LLC's NPI number?

The NPI number for Eastern Indiana Pediatric Dentistry, LLC is 1760616114. It was assigned to this organization in the NPPES registry on May 13, 2009.

Where is Eastern Indiana Pediatric Dentistry, LLC located?

Eastern Indiana Pediatric Dentistry, LLC is located at 724 N Grand Ave, Connersville, IN 47331. The listed phone number is (765) 825-2051.

What is Eastern Indiana Pediatric Dentistry, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Eastern Indiana Pediatric Dentistry, LLC was last updated on May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.