Speedway Pediatric Dentistry is a Pediatric Dental Clinic in Indianapolis, Indiana. It is located at 6211 W 30th St Ste D, Indianapolis, IN and its contact number is 317-299-0353. The authorized person for Speedway Pediatric Dentistry is Dr. Dillon T Wiley
who is Dentist / Owner of the clinic and their contact number is 317-695-3604. Speedway Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Speedway Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Speedway Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
6211 W 30th St Ste D, Indianapolis, Indiana, 46224-3057
Phone:
317-299-0353
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:
Dr. Dillon T Wiley
Position:
Dentist / Owner
Contact Number:
317-695-3604
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 Speedway Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1902457039
NPI Enumeration Date:
20 Sep, 2019
NPI Last Update On:
21 Jul, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Speedway Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
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
12012708A
Other
Indiana
In Dental License
300003242
Medicaid
Indiana
1629161518
Other
Indiana
Npi Type 1
12009076A
Other
Indiana
In Dental License
1790213098
Other
Indiana
Npi Type 1
300015869
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:
Speedway Pediatric Dentistry 6211 W 30th St Ste D, Indianapolis, Indiana
Zip:
46224-3057
Phone Number:
317-299-0353
Patients can reach Speedway Pediatric Dentistry at 6211 W 30th St Ste D, Indianapolis, Indiana or can call to book an appointment on 317-299-0353. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.