OrganizationActive
Olive Branch Dental LLC
NPI 1053904409 · General Practice Dentistry · Greenwood, IN
Olive Branch Dental LLC is a General Practice Dentistry organization in Greenwood, IN (NPI 1053904409).
Provider details
- NPI number
- 1053904409
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Srinivas Durshanapalli, Managing Partner(217) 303-5955
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2826 S State Road 135 Ste C
Greenwood, IN 46143-9603
Phone: (317) 743-7777
Fax: (317) 854-6577
Approximate (ZIP-level) locationGet directions
Mailing address
2826 S State Road 135 Ste C
Greenwood, IN 46143-9603
Other names (DBA / former)
- Doing business as
- Olive Branch Dental
- Doing business as
- Olive Branch Dental
Registry dates
- Enumerated
- 2021-02-17
- Last updated
- 2021-03-03
- Certified
- 2021-03-03
Frequently asked questions
- What is Olive Branch Dental LLC's NPI number?
- Olive Branch Dental LLC's National Provider Identifier (NPI) is 1053904409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olive Branch Dental LLC?
- Olive Branch Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Olive Branch Dental LLC located?
- Olive Branch Dental LLC's practice location on file with NPPES is 2826 S State Road 135 Ste C, Greenwood, IN 46143-9603.
- What is Olive Branch Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Olive Branch Dental LLC is (317) 743-7777.
- Who is the authorized official for Olive Branch Dental LLC?
- The authorized official listed on Olive Branch Dental LLC's NPPES record is Srinivas Durshanapalli, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olive Branch Dental LLC's NPI active?
- Yes — Olive Branch Dental LLC's NPI (1053904409) is active in the NPPES registry as of the last update on 2021-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.