Tenth St Dental Care PC

Primary specialty

DentistTaxonomy code 122300000X

License

12009348A Issued in IN

Legal business name

TENTH ST DENTAL CARE PC

Practice address

6919 E 10TH St
Suite A1
Indianapolis, IN 46219-4893

Phone

(317) 358-8885

Fax

(317) 358-8886

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brett Allen Egelske, DDS

Title

President

Phone

(317) 358-8885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1881704534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 E 10TH ST",
            "address_2": "SUITE A1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46219",
            "telephone_number": "317-358-8885",
            "fax_number": "317-358-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 E 10TH ST",
            "address_2": "SUITE A1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194893",
            "telephone_number": "317-358-8885",
            "fax_number": "317-358-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENTH ST DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "EGELSKE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-358-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009348A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrea Tennancour, NP
• Tenth Street Family Dental LLC
• Kristen L Tentler, DO
• Tentron Medical Inc
• Gariba Mbakwa Tenya
• Nicholay Teodorovich

• 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 Nov 14, 2007; 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.