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

Lakewood Family Dental of Indianapolis LLC

Organization General Practice Dentistry · NPI 1194213207

Lakewood Family Dental of Indianapolis LLC provides General Practice Dentistry in Indianapolis, Indiana. Registered with an NPI since 2018.

In the registry since
2018
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

3443 W 86th St Ste C
Indianapolis, IN 46268-1991
Phone: (732) 379-0953
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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

Record details

NPI number1194213207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinivasulu Kakollu — President · (732) 379-0953
NPI enumeratedApril 24, 2018
Last updated in NPPESApril 24, 2018
Mailing address8777 Purdue Rd Ste 115, Indianapolis, IN 46268-3104

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