Indiana Emergency Dental Fishers LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

INDIANA EMERGENCY DENTAL FISHERS LLC

Doing business as

Indiana Emergency Dental

Practice address

9860 Westpoint Dr Ste 100
Indianapolis, IN 46256-3398

Phone

(463) 276-0541

NPI assigned

Apr 22, 2025

Organization subpart

No

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

Authorized official

Name

Mallory Ellis

Title

Office Admin

Phone

(463) 276-0541

Specialties & licenses 1

Addresses

Other names 1

• Indiana Emergency Dental Doing business as

Locations

Practitioners 2

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

• Gabriel Duffy

  • Dentist
  • Indianapolis, IN
  • NPI 1295355337

  General Practice

  NPD
• Edward G Garry, DMD

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1255537353
  NPD

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1578350641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 US 31 STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462278619",
            "telephone_number": "463-276-0541",
            "fax_number": "463-276-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9860 WESTPOINT DR STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563398",
            "telephone_number": "463-276-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA EMERGENCY DENTAL FISHERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "463-276-0541"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Emergency Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indiana Craniofacial Center PC
• Indiana Denture Specialist, Inc
• Indiana Department of Child Services
• Indiana Developmental Training Center LLC
• Indiana Emergency Dental
• Indiana Emergency Solutions LLC
• Indiana Endodontics
• Indiana Endoscopy Centers LLC
• Indiana Eyecare Center PC
• Indiana Fair Chance LLC

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, 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 23, 2025; 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.