OrganizationActive
Wtdg Specialty Group LLC
NPI 1114502283 · Dentist · Indianapolis, IN
Wtdg Specialty Group LLC is a Dentist organization in Indianapolis, IN (NPI 1114502283).
Provider details
- NPI number
- 1114502283
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Brent Barta, Member(317) 679-8506
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 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
2 documented practice locations
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
6443 W 10th St Ste 204
Indianapolis, IN 46214-6502
Phone: (317) 247-9512
Street-level locationGet directions
Mailing address
6443 W 10th St Ste 204
Indianapolis, IN 46214-6502
Additional practice locations (1)
- 6443 W 10th St Ste 204Indianapolis, IN 46214-6502Phone: (317) 247-9512
Registry dates
- Enumerated
- 2021-03-10
- Last updated
- 2021-03-10
- Certified
- 2021-03-10
Frequently asked questions
- What is Wtdg Specialty Group LLC's NPI number?
- Wtdg Specialty Group LLC's National Provider Identifier (NPI) is 1114502283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wtdg Specialty Group LLC?
- Wtdg Specialty Group LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Wtdg Specialty Group LLC located?
- Wtdg Specialty Group LLC's practice location on file with NPPES is 6443 W 10th St Ste 204, Indianapolis, IN 46214-6502.
- What is Wtdg Specialty Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Wtdg Specialty Group LLC is (317) 247-9512.
- Who is the authorized official for Wtdg Specialty Group LLC?
- The authorized official listed on Wtdg Specialty Group LLC's NPPES record is Brent Barta, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wtdg Specialty Group LLC's NPI active?
- Yes — Wtdg Specialty Group LLC's NPI (1114502283) is active in the NPPES registry as of the last update on 2021-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.