OrganizationActive
Poplar Pediatric Dentistry LLC
NPI 1124804042 · Pediatric Dentistry · Lebanon, IN
Poplar Pediatric Dentistry LLC is a Pediatric Dentistry organization in Lebanon, IN (NPI 1124804042).
Provider details
- NPI number
- 1124804042
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Parent organization
- Poplar Pediatric Dentistry LLC
- Organization subpart
- Yes
- Authorized official
- Katelyn Brauer, Owner(317) 939-6558
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1667 N Lebanon St
Lebanon, IN 46052-1515
Phone: (317) 939-6558
Street-level locationGet directions
Mailing address
6828 W Stonegate Dr
Zionsville, IN 46077-8023
Registry dates
- Enumerated
- 2023-09-06
- Last updated
- 2024-01-01
- Certified
- 2024-01-01
Frequently asked questions
- What is Poplar Pediatric Dentistry LLC's NPI number?
- Poplar Pediatric Dentistry LLC's National Provider Identifier (NPI) is 1124804042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Poplar Pediatric Dentistry LLC?
- Poplar Pediatric Dentistry LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Poplar Pediatric Dentistry LLC located?
- Poplar Pediatric Dentistry LLC's practice location on file with NPPES is 1667 N Lebanon St, Lebanon, IN 46052-1515.
- What is Poplar Pediatric Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Poplar Pediatric Dentistry LLC is (317) 939-6558.
- Who is the authorized official for Poplar Pediatric Dentistry LLC?
- The authorized official listed on Poplar Pediatric Dentistry LLC's NPPES record is Katelyn Brauer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Poplar Pediatric Dentistry LLC's NPI active?
- Yes — Poplar Pediatric Dentistry LLC's NPI (1124804042) is active in the NPPES registry as of the last update on 2024-01-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.