Stutler Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010504A Issued in IN

Legal business name

STUTLER DENTAL CARE

Practice address

1460 N Green St
Suite 100
Brownsburg, IN 46112-7487

Phone

(317) 852-6620

Fax

(317) 852-6680

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Bradley William Stutler, DDS

Title

President

Phone

(317) 852-6620

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1235217027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N GREEN ST",
            "address_2": "SUITE 100",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127487",
            "telephone_number": "317-852-6620",
            "fax_number": "317-852-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N GREEN ST",
            "address_2": "SUITE 100",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127487",
            "telephone_number": "317-852-6620",
            "fax_number": "317-852-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUTLER DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "STUTLER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-852-6620",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010504A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200437880A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlena Stroud
• Haley Stultz, RBT
• Savanna Stumpo, RBT
• Hilary Leigh Sturm, PA
• William J Sturtevant, PHD
• Bradley William Stutler, D.D.S.
• James Francis Sullivan, LSW
• Courtney K Summitt, PT, DPT
• Sunrise Rehab Center LLC
• Superior Healthcare Solutions LLC

• General Practice Dentistry in Brownsburg, IN
• Providers in Brownsburg, 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 Aug 5, 2008; 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.