Alyssa B Stickley DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALYSSA B STICKLEY DDS, LLC

Practice address

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

Phone

(317) 850-2160

NPI assigned

Jan 18, 2022

Organization subpart

No

Name

Alyssa Stickley, DDSNPI 1609138775

Title

Managing Member

Phone

(317) 850-2160

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa B. Stickley, DDS

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

• Danville Family Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2022.

{
    "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

• All providers in Danville, IN
• 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.