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 1578732806

Immediadent of Indiana, PC provides Dentist services in Clarksville, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1160 E Lewis And Clark Pkwy
Clarksville, IN 47129-7735
Phone: (812) 945-4040
Fax: (866) 591-0604
Show map & directions

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 number1578732806
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationImmediadent of Indiana, PC
Authorized official Monica Long — Manager Of Provider Credentialing · (913) 428-1686
Other names Immediadent
NPI enumeratedFebruary 20, 2008
Last updated in NPPESApril 28, 2017
Mailing addressPo Box 11568, Overland Park, KS 66207-4268

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