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PARK 100 DENTAL CARE
NPI 1770194698
Dentist - General Practice in Indianapolis, IN

Active since August 13, 2020
8570 NORTHWEST BLVD, INDIANAPOLIS, IN 46278(317) 608-5692 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2024, Aug 13, 2020 (2 updates tracked since 2020).

About Park 100 Dental Care NPPES

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

PARK 100 DENTAL CARE (NPI 1770194698) is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since August 2020. The organization lists Tabatha Lemke, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1770194698
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL PROFESSIONALS OF IN, P.C.
Location Address8570 NORTHWEST BLVDIndianapolis, IN 46278-1383
Mailing Address8570 Northwest BlvdIndianapolis, IN 46278-1383
Phone(317) 608-5692
Organization SubpartYes
Authorized OfficialTabatha LemkeCredentialing Coordinator · (217) 540-6078
Enumeration DateAugust 13, 2020
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1770194698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
8570 NORTHWEST BLVD, Indianapolis, IN 46278
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Other Names 1

Doing Business AsPark 100 Dental Care

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 2

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

DR. RAPHAEL RAGANIT DDS
Dentist (General Practice)
8570 NORTHWEST BLVD
INDIANAPOLIS, IN 46278
Marion County (317) 291-8957
ALEXA LAIL HAULK DDS
Dentist
8570 NORTHWEST BLVD
INDIANAPOLIS, IN 46278
Marion County (317) 291-8957

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 Dental Professionals Of In, P.C.'s NPI number?

The NPI number for Dental Professionals Of In, P.C. is 1770194698. It was assigned to this organization in the NPPES registry on August 13, 2020. The provider is doing business as Park 100 Dental Care.

Where is Dental Professionals Of In, P.C. located?

Dental Professionals Of In, P.C. is located at 8570 Northwest Blvd, Indianapolis, IN 46278. The listed phone number is (317) 608-5692.

What is Dental Professionals Of In, P.C.'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 Dental Professionals Of In, P.C. was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.