Molly Elizabeth Dwenger, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12013361A Issued in IN

Practice address

11959 Lakeside Dr
Fishers, IN 46038-1316

Phone

(317) 577-1911

NPI assigned

Jun 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fishers Dental Care, P.C.

  • Dental Clinic/Center
  • Fishers, IN
  • NPI 1316031743
  NPD (past)
• Millikan Dentistry PC

  dba Millikan Smiles

  • Dentist
  • Bloomington, IN
  • NPI 1811405335
  NPD (past)

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1154946051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11959 LAKESIDE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11959 LAKESIDE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381316",
            "telephone_number": "317-577-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44405 Woodward Ave",
            "address_2": "Medical Eduation - H23",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483415023",
            "country_code": "US",
            "telephone_number": "248-858-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "IN",
            "postal_code": "460018059",
            "country_code": "US",
            "telephone_number": "765-358-5774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3245 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474044835",
            "country_code": "US",
            "telephone_number": "812-339-1671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWENGER",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "2951000814",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013361A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Durant & Smith PC (All About Women)
• Tara Lynn Durant, MS PT
• Tammy N Durham-Boring, DO
• Kahlayla Durham
• Sujaata Dwadasi, M.D.
• Creole Marie Dycus, FNP, APRN, BC
• Thomas Dye
• James Dyer
• Kaleb Dyer, BCBA
• Bailey David Dyke

• Dentist in Fishers, IN
• Providers in Fishers, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.