NPI 1548060098 · live from the CMS NPI Registry
Bbb Of In, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Indianapolis, IN. National Provider Identifier 1548060098, active.
NPI record
| NPI | 1548060098 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 6443 W 10th St Ste 204, Indianapolis, IN 46214 |
| Practice phone | 502-254-8500 |
| Mailing address | Po Box 437169, Louisville, KY 40253 |
| Enumerated | March 14, 2025 |
| Last updated | March 14, 2025 |
| Authorized official | Jennifer Pardue, Director Of Revenue Cycle |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.