NPI 1962940254 · live from the CMS NPI Registry
Dcp Of Indiana (Castleton Square), P.C.
Dentist, General Practice in Noblesville, IN. National Provider Identifier 1962940254, active.
NPI record
| NPI | 1962940254 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 17535 Terry Lee Crossing, 200-B, Noblesville, IN 46060 |
| Practice phone | 317-773-3740 |
| Mailing address | 7160 Dallas Pkwy Ste 400, Plano, TX 75024 |
| Enumerated | February 7, 2017 |
| Last updated | March 20, 2018 |
| Authorized official | Rachel Nittinger, Credentialing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics | 1223E0200X | — |
| Dentist | 122300000X | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — |
| Dentist, Periodontics | 1223P0300X | — |
| Dentist, Prosthodontics | 1223P0700X | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.