Pulos Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008816 Issued in IN

Legal business name

PULOS FAMILY DENTISTRY, LLC

Practice address

1002 N Mitthoeffer Rd Ste B
Indianapolis, IN 46229-2461

Phone

(317) 898-6666

Fax

(317) 898-4965

NPI assigned

Nov 7, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Monica K Pulos

Title

Member

Phone

(317) 485-5850

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Amanda Clemons, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1114441383
  NPD (past)
• Brenda Mayorga de la Cruz, DDS

  • Dentist
  • Indianapolis, IN
  • NPI 1174364822
  NPD (past)
• Gus Pulos, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1184743890
  NPD (past)

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1972016392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 GEIST RIDGE CT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460409479",
            "telephone_number": "317-485-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N MITTHOEFFER RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292461",
            "telephone_number": "317-898-6666",
            "fax_number": "317-898-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULOS FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "PULOS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-485-5850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Pulliam Pulliam, ED.D.
• Ethan Warner Pulliam
• Kathryn Elizabeth Pullicino, PSYD
• Pulmonary Clinical Solutions Indiana, LLC
• Pulmonary Medical Associates, P.C.
• Emily Pulos
• Gus Pulos, DDS
• Kelsey M Pumel, BCBA
• Mrudula B Punjani, MSW
• Aileen Feliza Puno, MD

• 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 Nov 7, 2017; 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.