PHOTODERMIC SKIN THERAPY, LLC
NPI 1982877015
Dermatology - Procedural Dermatology in Indianapolis, IN

Q: What is Photodermic Skin Therapy, LLC's NPI number?

The NPI number for Photodermic Skin Therapy, LLC is 1982877015. It was assigned to this organization in the NPPES registry on April 9, 2008.

Q: What is Photodermic Skin Therapy, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Active since April 09, 2008

3833 N MERIDIAN ST STE 10, INDIANAPOLIS, IN 46208(317) 926-4687 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Photodermic Skin Therapy, Llc NPPES

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

PHOTODERMIC SKIN THERAPY, LLC (NPI 1982877015) is a healthcare organization registered as a procedural dermatology in Indianapolis, Indiana and active in the NPI registry since April 2008. The organization lists Doug Wregge, Owner, as its authorized official.

NPPES Registry Identity

NPI1982877015

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NamePHOTODERMIC SKIN THERAPY, LLC

Location Address3833 N MERIDIAN ST STE 10Indianapolis, IN 46208-4001

Mailing Address3833 N Meridian St Ste 10Indianapolis, IN 46208-4001 · (317) 926-4687

Phone(317) 926-4687

Organization SubpartNo

Authorized OfficialDoug WreggeOwner · (317) 283-8113

Enumeration DateApril 9, 2008

✔ NPI 1982877015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

3833 N MERIDIAN ST STE 10, Indianapolis, IN 46208

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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

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 Photodermic Skin Therapy, LLC's NPI number?

The NPI number for Photodermic Skin Therapy, LLC is 1982877015. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Photodermic Skin Therapy, LLC located?

Photodermic Skin Therapy, LLC is located at 3833 N Meridian St Ste 10, Indianapolis, IN 46208. The listed phone number is (317) 926-4687.

What is Photodermic Skin Therapy, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Photodermic Skin Therapy, LLC was last updated on April 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.