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SPEEDWAY PEDIATRIC DENTISTRY
NPI 1902457039
Dentist - Pediatric Dentistry in Indianapolis, IN

Active since September 20, 2019
6211 W 30TH ST STE D, INDIANAPOLIS, IN 46224(317) 299-0353 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2020, Sep 20, 2019 (2 updates tracked since 2019).

About Speedway Pediatric Dentistry NPPES

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

SPEEDWAY PEDIATRIC DENTISTRY (NPI 1902457039) is a healthcare organization registered as a pediatric dentistry in Indianapolis, Indiana and active in the NPI registry since September 2019. The organization lists Dillon T Wiley, Dentist / Owner, as its authorized official.

NPPES Registry Identity

NPI1902457039
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWILEY PEDIATRIC DENTISTRY, LLC
Location Address6211 W 30TH ST STE DIndianapolis, IN 46224-3057
Mailing Address6211 W 30th St Ste DIndianapolis, IN 46224-3057 · (317) 299-0353 · Fax (317) 298-8196
Phone(317) 299-0353
Organization SubpartNo
Authorized OfficialDillon T WileyDentist / Owner · (317) 695-3604
Enumeration DateSeptember 20, 2019
Last NPPES UpdateJuly 21, 20202 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
✔ NPI 1902457039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
6211 W 30TH ST STE D, Indianapolis, IN 46224
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Other Names 1

Doing Business AsSpeedway Pediatric Dentistry

Other Identifiers 6

Medicaid300015869IN
Other1790213098IN · Npi Type 1
Medicaid300003242IN
Other1629161518IN · Npi Type 1
Other12012708AIN · In Dental License
Other12009076AIN · In Dental License

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 UnitedHealthcare.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.

DR. DILLON T WILEY DDS, MSD
Dentist (Pediatric Dentistry)
6211 W 30TH ST STE D
INDIANAPOLIS, IN 46224
Marion County (317) 299-0353

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 Wiley Pediatric Dentistry, LLC's NPI number?

The NPI number for Wiley Pediatric Dentistry, LLC is 1902457039. It was assigned to this organization in the NPPES registry on September 20, 2019. The provider is doing business as Speedway Pediatric Dentistry.

Where is Wiley Pediatric Dentistry, LLC located?

Wiley Pediatric Dentistry, LLC is located at 6211 W 30th St Ste D, Indianapolis, IN 46224. The listed phone number is (317) 299-0353.

What is Wiley Pediatric Dentistry, LLC's specialty?

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

What insurance does Wiley Pediatric Dentistry, LLC accept?

Health plans from UnitedHealthcare list Wiley Pediatric Dentistry, LLC 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 Wiley Pediatric Dentistry, LLC was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.