Georgetown Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

12011062 Issued in IN

Legal business name

GEORGETOWN DENTAL CENTER

Practice address

5525 Georgetown Rd
Suite B
Indianapolis, IN 46254-3724

Phone

(317) 298-9804

Fax

(317) 298-0979

NPI assigned

Dec 22, 2011

Organization subpart

Yes

Parent organization

WEST 10TH DENTAL GROUPAs reported in NPPES

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

Authorized official

Name

Dr. Brent J Barta, DDS

Title

Owner

Phone

(317) 247-9512

Specialties & licenses 2

Addresses

Part of

West 10TH Dental Group Professional Corporation

Locations

Practitioners 2

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

• Ashley Christine Dickerson, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1619406345
  NPD (past)
• Gregg Alan Noll, D.D.S.

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1841415809
  NPD (past)

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1871862672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 GEORGETOWN RD",
            "address_2": "SUITE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543724",
            "telephone_number": "317-298-9804",
            "fax_number": "317-298-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 GEORGETOWN RD",
            "address_2": "SUITE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543724",
            "telephone_number": "317-298-9804",
            "fax_number": "317-298-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN DENTAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST 10TH DENTAL GROUP",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "BARTA",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-247-9512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "120008543",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachari A George, LCSW
• George's Family Pharmacy, Inc.
• George's Family Pharmacy, Inc. (George's Pharmacy East Side, LLC)
• Angela Marie Georges Hartman, LCSW, LCAC
• Georgetown Chiropractic Clinic, PC
• Amelia Georgi, LCSW
• Mary Ann Gepte Tuano
• Mark W Geraci, MD
• Gerald R Yarnell MD Inc
• Gerald S. Epstein, DDS, Inc

• 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 Dec 22, 2011; 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.