Mooresville Pediatric Dentistry PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MOORESVILLE PEDIATRIC DENTISTRY PC

Practice address

100 Town Center Dr S Ste a
Mooresville, IN 46158-2322

Phone

(317) 831-5439

NPI assigned

Jan 24, 2025

Organization subpart

No

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

Authorized official

Name

Holly Clark, DDS

Title

Owner

Phone

(317) 273-2372

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stephanie M Litz, DDS, MSD

  • Pediatric Dentistry
  • Mooresville, IN
  • NPI 1902025968
  NPD

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1912719147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 ROCKVILLE RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143130",
            "telephone_number": "317-273-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOWN CENTER DR S STE A",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582322",
            "telephone_number": "317-831-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESVILLE PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-273-2372",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mooresville Consolidated School C Orp.
• Mooresville Dental Acquisition
• Mooresville Endoscopy Center LLC
• Mooresville Family Dentistry
• Mooresville Family Eyecare, PC
• Morgan County Family Dental LLC
• Tamara June Morrison - Barnett, FNP
• James Michael Murrell, MD
• Jinny Myers
• Scott M Neville, DPM

• Pediatric Dentistry in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.