Oral Health Services, PC

Primary specialty

DentistTaxonomy code 122300000X

License

12006906A Issued in IN

Legal business name

ORAL HEALTH SERVICES, PC

Doing business as

Indiana Dental Centers

Practice address

3628 N Sherman Dr
Indianapolis, IN 46218-1436

Phone

(317) 545-6011

Fax

(317) 541-2786

NPI assigned

Mar 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David L Moore, DDS

Title

Owner

Phone

(317) 545-6011

Specialties & licenses 1

Addresses

Other names 1

• Indiana Dental Centers Doing business as

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245369644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 N SHERMAN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462181436",
            "telephone_number": "317-545-6011",
            "fax_number": "317-541-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 N SHERMAN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462181436",
            "telephone_number": "317-545-6011",
            "fax_number": "317-541-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL HEALTH SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "13175456011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12006906A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.