Bolt Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BOLT FAMILY DENTAL LLC

Practice address

945 N Green St
Brownsburg, IN 46112-1032

Phone

(317) 852-7112

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. William R Little, DDS

Title

Co-Owner

Phone

(870) 243-4406

Specialties & licenses 1

Addresses

Practitioners 2

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

• Richard M Low, DMD

  • Dentist
  • Brownsburg, IN
  • NPI 1386027118
  NPD (past)
• Alexandra Anne Troyer, DDS

  • General Practice Dentistry
  • Brownsburg, IN
  • NPI 1154859023
  NPD (past)

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1811456791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 N GREEN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121032",
            "telephone_number": "317-852-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N GREEN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121032",
            "telephone_number": "317-852-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLT FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "870-243-4406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauryn Blunk, RBT
• Jackie Lynn Boatman
• Michael J Bode, M.D.
• David Allen Bogan, O.D.
• Heather Boise, LMHC
• Nancy N Bolt, DDS
• Danyelle Bonebrake, RBT
• Carly Booth, RBT
• Stacey Bostian-Miller, MS, LMHC, NCC
• Jennifer Noel Boston, PT

• 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 Mar 19, 2019; 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.