Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Broad Ripple Family Dental, LLC

Organization General Practice Dentistry · NPI 1073840393

Broad Ripple Family Dental, LLC provides General Practice Dentistry in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2009.

Licensed in
IN
In the registry since
2009
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6117 N College Ave
Indianapolis, IN 46220-2233 Not confirmed with CMS for 16 years — call before visiting
Phone: (317) 257-3368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12010357A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12007547A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12010049A (IN)

Record details

NPI number1073840393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Elrod — Dentist · (317) 257-3368
NPI enumeratedNovember 6, 2009
Last updated in NPPESNovember 6, 2009
Mailing address6117 N. College, Indianapolis, IN 46220

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