Dustin Broyles, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12014740A Issued in IN

Practice address

123 Dover St
Avon, IN 46123-7709

Phone

(317) 272-9300

NPI assigned

Jun 3, 2025

Last updated

Jun 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1750274163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 TENTON CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462785045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DOVER ST",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237709",
            "telephone_number": "317-272-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "DUSTIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014740A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Brown
• Latonya V Brown, CADAC LL ,
• Matthew Allen Brown
• Rylie Brown, RBT
• Erin Browne, RBT
• Tanalee Dawn Bruce
• Amelia S Bruner, RN
• Stacie L. Bryant, M.S., CCC-SLP
• Michael D Buckwalter, MD
• Sara Budd

• 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 Jun 3, 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.