OrganizationActive
Olive Branch Dental LLC
NPI 1053904409 · General Practice Dentistry · Greenwood, IN
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.