Organization Active NPI

Cville Dental LLC

Doing business as Canal Dentistry of Crawfordsville

  • Dental Clinic/Center
  • Crawfordsville, IN
National Provider Identifier
1639870363
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CVILLE DENTAL LLC
Doing business as
Canal Dentistry of Crawfordsville
Practice address
1950 Indianapolis Rd
Crawfordsville, IN 47933-3135
Phone
(765) 364-1740
NPI assigned
Mar 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Mark Sanford, DDSNPI 1447487392
Title
Member
Phone
(317) 491-5095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1950 Indianapolis Rd
Crawfordsville, IN 47933-3135

Mailing address

1950 Indianapolis Rd
Crawfordsville, IN 47933-3135
Phone (765) 364-1740

Other names 1

  • Canal Dentistry of Crawfordsville Doing business as

National Provider Directory

National Provider Directory

Locations

1950 Indianapolis Rd
Crawfordsville, IN 47933
Phone (765) 364-1740

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1639870363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 INDIANAPOLIS RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333135",
            "telephone_number": "765-364-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 INDIANAPOLIS RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333135",
            "telephone_number": "765-364-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVILLE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-491-5095",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canal Dentistry of Crawfordsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.