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

Immediadent of Indiana, PC

Organization Dentist · NPI 1194193078

Immediadent of Indiana, PC provides Dentist services in Clarksville, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
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

1160 E Lewis And Clark Pkwy
Clarksville, IN 47129-7735 Not confirmed with CMS for 11 years — call before visiting
Phone: (812) 284-4040
Fax: (913) 800-6967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12010746A (IN)

Record details

NPI number1194193078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Wheeler — Credentialing Coordinator · (913) 800-6952
Other names Immediadent
NPI enumeratedSeptember 9, 2015
Last updated in NPPESSeptember 9, 2015
Mailing addressPo Box 11568, Overland Park, KS 66207-4268

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