Immediadent Of Indiana, P.c. is a Dental Clinic in Indianapolis, Indiana. This organization is also known as sub part of Immediadent Of Indiana, P.c.. It is located at 8845 Boehning Ln, Indianapolis, IN and its contact number is 317-899-1112. 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.
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: | 8845 Boehning Ln, Indianapolis,
Indiana, 46219-1974 |
| Phone: | 317-899-1112 |
| 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: | 1477946374 |
| Parent Organization: | Immediadent Of Indiana, P.c. |
| NPI Enumeration Date: | 17 Mar, 2015 |
| NPI Last Update On: | 27 Apr, 2017 |
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 | | | 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 |
| 200377170A | 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
8845 Boehning Ln, Indianapolis, Indiana or can
call to book an appointment on 317-899-1112.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.