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CENTER GROVE DENTAL, LLC
NPI 1881152585
Dentist in Greenwood, IN

Active since March 12, 2019
4800 W SMITH VALLEY RD STE K, GREENWOOD, IN 46142(317) 882-7800(317) 893-2986 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Center Grove Dental, Llc NPPES

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

CENTER GROVE DENTAL, LLC (NPI 1881152585), doing business as Center Grove Dental, is a healthcare organization registered as a dentist in Greenwood, Indiana and active in the NPI registry since March 2019. The organization lists Sung H Kong, Owner, as its authorized official.

NPPES Registry Identity

NPI1881152585
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCENTER GROVE DENTAL, LLC
Location Address4800 W SMITH VALLEY RD STE KGreenwood, IN 46142-9195
Mailing Address4800 W Smith Valley Rd Ste KGreenwood, IN 46142-9195 · (317) 882-7800 · Fax (317) 893-2986
Phone(317) 882-7800
Fax(317) 893-2986
Organization SubpartNo
Authorized OfficialSung H KongOwner · (317) 882-7800
Enumeration DateMarch 12, 2019
✔ NPI 1881152585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
4800 W SMITH VALLEY RD STE K, Greenwood, IN 46142
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Other Names 1

Doing Business AsCenter Grove Dental

Other Identifiers 1

Medicaid200533220IN

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.

BLOOM DENTAL-GREENWOOD, LLC
Clinic/Center (Dental)
4800 W SMITH VALLEY RD STE K
GREENWOOD, IN 46142
Johnson County (317) 882-7800
ANASTASIA GOLODAEVA DDS
Dentist (General Practice)
4800 W SMITH VALLEY RD STE K
GREENWOOD, IN 46142
Johnson County (317) 882-7800

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 Center Grove Dental, LLC's NPI number?

The NPI number for Center Grove Dental, LLC is 1881152585. It was assigned to this organization in the NPPES registry on March 12, 2019. The provider is doing business as Center Grove Dental.

Where is Center Grove Dental, LLC located?

Center Grove Dental, LLC is located at 4800 W Smith Valley Rd Ste K, Greenwood, IN 46142. The listed phone number is (317) 882-7800.

What is Center Grove Dental, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Center Grove Dental, LLC was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.