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

Northeast Dental Group, Inc

Organization General Practice Dentistry · NPI 1710006143

Northeast Dental Group, Inc provides General Practice Dentistry 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?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8202 Clearvista Pkwy Ste 10A
Indianapolis, IN 46256-1400
Phone: (317) 596-9700
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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 · Licence 12007689A (IN)

Record details

NPI number1710006143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Levin — President · (317) 596-9700
NPI enumeratedMarch 28, 2007
Last updated in NPPESAugust 22, 2020
Mailing address8202 Clearvista Pkwy, Ste 10a, Indianapolis, IN 46256-1400

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