Indianapolis Center for Implant and Cosmetic Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008609A Issued in IN

Legal business name

INDIANAPOLIS CENTER FOR IMPLANT AND COSMETIC DENTISTRY PC

Practice address

7218 US 31 S
Indianapolis, IN 46227-8539

Phone

(317) 882-0228

NPI assigned

Oct 21, 2013

Last updated

Oct 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ted Reese, DDS

Title

President

Phone

(317) 882-0228

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jordanne Gambill, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1992316129
  NPD

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1912335464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 US 31 S",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462278539",
            "telephone_number": "317-882-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7218 US 31 S",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462278539",
            "telephone_number": "317-882-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS CENTER FOR IMPLANT AND COSMETIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-882-0228",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008609A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Vision Improvement Center
• Indiana Womens Oncology PC
• Indianapolis Bone & Joint Clinic Inc.
• Indianapolis Breast Center, PC
• Indianapolis Center for Implant and Cosmetic Dentistry PC (Indianapolis Dentistry)
• Indianapolis Counseling and Mentoring LLC
• Indianapolis Counseling Associates, LLC
• Indianapolis Counseling Center Inc
• Indianapolis Counselor Incorporated
• Indianapolis Dental Care LLC

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, 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 Oct 21, 2013; 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.