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

Immediadent of Indiana, PC

Organization Dentist · NPI 1063560555

Immediadent of Indiana, PC provides Dentist services in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3269 W 86th St Ste A-2
Indianapolis, IN 46268-3822
Phone: (317) 542-3440
Fax: (913) 800-6967
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IN)

Record details

NPI number1063560555
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationImmediadent of Indiana, PC
Authorized official Amy Wheeler — Credentialing Coordinator · (913) 800-6952
Other names Immediadent
NPI enumeratedJanuary 8, 2007
Last updated in NPPESApril 12, 2017
Mailing addressPo Box 11568, Overland Park, KS 66207-4268

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