Alyssa B Stickley DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALYSSA B STICKLEY DDS, LLC

Doing business as

Danville Family Dentistry

Practice address

23 S County Road 200 E
Danville, IN 46122-9317

Phone

(317) 850-2160

NPI assigned

Jan 18, 2022

Last updated

Jan 18, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alyssa Stickley, DDSNPI 1609138775

Title

Managing Member

Phone

(317) 850-2160

Specialties & licenses 1

Addresses

Other names 1

• Danville Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alyssa B. Stickley, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1609138775
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1013668433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 SUGARBUSH DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771908",
            "telephone_number": "317-850-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S COUNTY ROAD 200 E",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229317",
            "telephone_number": "317-850-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYSSA B STICKLEY DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "STICKLEY",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "317-850-2160",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Danville Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rukeme Ake-Uzoigwe, MD
• Megan N Aker, LCSW
• Muddassir Aliniazee, MD
• Jennifer L Allen, M.D.
• Keely Doreen Allen, OD
• Alyssa Stickley DDS PC
• American Health Network of Indiana, LLC
• Dustin P Andresen, M.D.
• Heather Armstrong, PSY.D. HSPP
• Jessica L Arnes, OTR

• Dental Clinic/Center in Danville, IN
• Providers in Danville, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.