IndividualActive
Anne Brouillard, DDS
NPI 1417640921 · Pediatric Dentistry · Indianapolis, IN
Provider details
- NPI number
- 1417640921
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12014091A (IN)
Specialties & taxonomies
Dental Providers
Practice location
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone: (317) 944-3865
Approximate (ZIP-level) locationGet directions
Mailing address
633 Lawndale Dr
Plainfield, IN 46168-2261
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2023-05-31
- Certified
- 2023-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.