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MOORESVILLE PEDIATRIC DENTISTRY PC
NPI 1912719147
Dentist - Pediatric Dentistry in Mooresville, IN

Active since January 24, 2025
100 TOWN CENTER DR S STE A, MOORESVILLE, IN 46158(317) 831-5439 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mooresville Pediatric Dentistry Pc NPPES

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

MOORESVILLE PEDIATRIC DENTISTRY PC (NPI 1912719147) is a healthcare organization registered as a pediatric dentistry in Mooresville, Indiana and active in the NPI registry since January 2025. The organization lists Holly Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1912719147
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMOORESVILLE PEDIATRIC DENTISTRY PC
Location Address100 TOWN CENTER DR S STE AMooresville, IN 46158-2322
Mailing Address7830 Rockville Rd Ste AIndianapolis, IN 46214-3130 · (317) 273-2372
Phone(317) 831-5439
Organization SubpartNo
Authorized OfficialHolly ClarkOwner · (317) 273-2372
Enumeration DateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1912719147 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.

100 TOWN CENTER DR S STE A, Mooresville, IN 46158
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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

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

STEPHANIE M LITZ DDS, MSD
Dentist (Pediatric Dentistry)
100 TOWN CENTER DR S STE A
MOORESVILLE, IN 46158
Morgan County (317) 831-5439

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 Mooresville Pediatric Dentistry PC's NPI number?

The NPI number for Mooresville Pediatric Dentistry PC is 1912719147. It was assigned to this organization in the NPPES registry on January 24, 2025.

Where is Mooresville Pediatric Dentistry PC located?

Mooresville Pediatric Dentistry PC is located at 100 Town Center Dr S Ste A, Mooresville, IN 46158. The listed phone number is (317) 831-5439.

What is Mooresville Pediatric Dentistry PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mooresville Pediatric Dentistry PC was last updated on January 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.