Immediadent Of Indiana, P.c. is a Dental Clinic in Clarksville, Indiana. This organization is also known as sub part of Immediadent Of Indiana, P.c.. It is located at 1160 E Lewis And Clark Pkwy, Clarksville, IN and its contact number is 812-945-4040. The authorized person for Immediadent Of Indiana, P.c. is Monica L Long
who is Manager Of Provider Credentialing of the clinic and their contact number is 913-428-1686. Other organizations associated with this clinic are Immediadent Of Indiana, Pc, Immediadent Of Indiana, P.c., The primary license number for Immediadent Of Indiana, P.c. is 12010746A (Dentist) in Indiana. Immediadent Of Indiana, P.c. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Immediadent Of Indiana, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Immediadent Of Indiana, P.c.
Specialization:
Dentistry
Clinic Address:
1160 E Lewis And Clark Pkwy, Clarksville, Indiana, 47129-7735
Phone:
812-945-4040
Fax:
866-591-0604
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Monica L Long
Position:
Manager Of Provider Credentialing
Contact Number:
913-428-1686
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Immediadent Of Indiana, P.c. clinic are as mentioned below.
NPI Number:
1578732806
Parent Organization:
Immediadent Of Indiana, P.c.
NPI Enumeration Date:
20 Feb, 2008
NPI Last Update On:
28 Apr, 2017
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Immediadent Of Indiana, Pc
Dentistry
1194193078
Immediadent Of Indiana, P.c.
Dentistry
1578732806
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Immediadent Of Indiana, P.c. are as mentioned below.
Specialization
License Number
State
Status
Dentist
12010746A
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200377170H
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Immediadent Of Indiana, P.c. Po Box 11568, Overland Park, Kansas
Zip:
66207-4268
Phone Number:
913-428-1686
Fax Number:
866-591-0604
Patients can reach Immediadent Of Indiana, P.c. at 1160 E Lewis And Clark Pkwy, Clarksville, Indiana or can call to book an appointment on 812-945-4040. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.