OrganizationActive
Southeast Dental Group
NPI 1114031952 · General Practice Dentistry · Indianapolis, IN
Southeast Dental Group is a General Practice Dentistry organization in Indianapolis, IN (NPI 1114031952).
Provider details
- NPI number
- 1114031952
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mark Bohnert, President/Owner(317) 359-1754
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6020 Southeastern Ave
Indianapolis, IN 46203-5611
Phone: (317) 359-1754
Fax: (317) 357-3663
Street-level locationGet directions
Mailing address
6020 Southeastern Ave
Indianapolis, IN 46203-5611
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southeast Dental Group's NPI number?
- Southeast Dental Group's National Provider Identifier (NPI) is 1114031952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Dental Group?
- Southeast Dental Group is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Southeast Dental Group located?
- Southeast Dental Group's practice location on file with NPPES is 6020 Southeastern Ave, Indianapolis, IN 46203-5611.
- What is Southeast Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Southeast Dental Group is (317) 359-1754.
- Who is the authorized official for Southeast Dental Group?
- The authorized official listed on Southeast Dental Group's NPPES record is Mark Bohnert, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Dental Group's NPI active?
- Yes — Southeast Dental Group's NPI (1114031952) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.