Affinity Dental Avon LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AFFINITY DENTAL AVON LLC

Practice address

110B N Avon Ave
Avon, IN 46123-8475

Phone

(317) 898-3333

Fax

(317) 960-5333

NPI assigned

Apr 2, 2026

Last updated

Apr 2, 2026By 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

Srinivas Durshanapalli, DDS

Title

President

Phone

(888) 244-8899

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1174464440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110B N AVON AVE",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238475",
            "telephone_number": "317-898-3333",
            "fax_number": "317-960-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110B N AVON AVE",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238475",
            "telephone_number": "317-898-3333",
            "fax_number": "317-960-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY DENTAL AVON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "DURSHANAPALLI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-244-8899",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Adewara
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• Nagasai Adusumilli, MD
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• Amna T Ahmed, MD
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• General Practice Dentistry in Avon, IN
• Providers in Avon, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.