PREMIER DENTAL CARE
NPI 1770787657
Dentist in Indianapolis, IN

Active since June 13, 2007CLIA 15D2215827 · Waiver
6920 S EAST ST, SUITE A, INDIANAPOLIS, IN 46227(317) 787-6625(317) 787-4945 Get Directions Write a Review

NPPES record last updated: December 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Dental Care NPPES

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

PREMIER DENTAL CARE (NPI 1770787657) is a healthcare organization registered as a dentist in Indianapolis, Indiana and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Marla Kay Wilson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1770787657
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMARLA WILSON DDS PC
Location Address6920 S EAST ST, SUITE AIndianapolis, IN 46227-2215
Mailing Address6920 S East St, Suite AIndianapolis, IN 46227-2215 · (317) 787-6625 · Fax (317) 787-4945
Fax(317) 787-4945
Organization SubpartNo
Authorized OfficialMarla Kay WilsonDentist · (317) 787-6625
Enumeration DateJune 13, 2007
Last NPPES UpdateDecember 6, 2016
NPI 1770787657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IN · 12009690
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.
6920 S EAST ST, Indianapolis, IN 46227

Other Names 1

Doing Business AsPremier Dental Care

Other Identifiers 1

Medicare NSC7409540001IN

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2215827

Premier Dental Care · Indianapolis, IN
Active · expires Mar 7, 2027
CLIA Number15D2215827
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorMarla K. Wilson
Laboratory Phone(317) 787-6625
Laboratory LocationPremier Dental Care6920 S East St Suite A, Indianapolis, IN 46227
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Family Medicine
6920 S EAST ST, SUITE B
INDIANAPOLIS, IN 46227
Dentist (General Practice)
6920 S EAST ST, STE A
INDIANAPOLIS, IN 46227

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 Marla Wilson Dds PC's NPI number?

The NPI number for Marla Wilson Dds PC is 1770787657. It was assigned to this organization in the NPPES registry on June 13, 2007. The provider is doing business as Premier Dental Care.

Where is Marla Wilson Dds PC located?

Marla Wilson Dds PC is located at 6920 S East St Suite A, Indianapolis, IN 46227. The listed phone number is (317) 787-6625.

What is Marla Wilson Dds PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does Marla Wilson Dds PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2215827) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marla Wilson Dds PC was last updated on December 6, 2016. 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.