Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Indy East Periodontics PC

Organization Periodontics · NPI 1164726832

Indy East Periodontics PC provides Periodontics in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
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

115 N Shortridge Rd Ste 100
Indianapolis, IN 46219-4917 Not confirmed with CMS for 15 years — call before visiting
Phone: (317) 357-2235
Fax: (317) 357-2210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X (IN)

Record details

NPI number1164726832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Koehler — Periodontist · (317) 357-2235
NPI enumeratedJanuary 10, 2011
Last updated in NPPESJanuary 10, 2011
Mailing address115 N Shortridge Rd Ste 100, Indianapolis, IN 46219-4917

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