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ATLANTA DENTAL CLINIC
NPI 1790888170
Dentist - General Practice in Atlanta, IN

Active since September 07, 2006
29101 ST RD 19, ATLANTA, IN 46031(765) 292-2366(765) 292-2081 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Atlanta Dental Clinic NPPES

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

ATLANTA DENTAL CLINIC (NPI 1790888170) is a healthcare organization registered as a general practice in Atlanta, Indiana and active in the NPI registry since September 2006. The organization lists Fennis Bledsoe, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1790888170
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameINDIANA DENTAL CLINIC PC
Location Address29101 ST RD 19Atlanta, IN 46031
Mailing AddressPo Box 186Atlanta, IN 46031 · (765) 292-2366 · Fax (765) 292-2081
Phone(765) 292-2366
Fax(765) 292-2081
Organization SubpartNo
Authorized OfficialFennis BledsoeChief Executive Officer · (765) 292-2366
Enumeration DateSeptember 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790888170 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.
29101 ST RD 19, Atlanta, IN 46031
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Other Names 1

Doing Business AsAtlanta Dental Clinic

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.Insurance ›

Other Providers at the Same Location NPPES

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

MS. JAMI LYNN WARNER DDS
Dentist
29101 ST RD 19
ATLANTA, IN 46031
Hamilton County (765) 292-2366

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 Indiana Dental Clinic PC's NPI number?

The NPI number for Indiana Dental Clinic PC is 1790888170. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Atlanta Dental Clinic.

Where is Indiana Dental Clinic PC located?

Indiana Dental Clinic PC is located at 29101 St Rd 19, Atlanta, IN 46031. The listed phone number is (765) 292-2366.

What is Indiana Dental Clinic PC's specialty?

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

What insurance does Indiana Dental Clinic PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Indiana Dental Clinic PC 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 Indiana Dental Clinic PC 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.