OrganizationActive
Immediadent of Indiana, P.C.
NPI 1578732806 · Dentist · Clarksville, IN
Immediadent of Indiana, P.C. is a Dentist organization in Clarksville, IN (NPI 1578732806).
Provider details
- NPI number
- 1578732806
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Immediadent of Indiana, P.C.
- Organization subpart
- Yes
- Authorized official
- Monica Long, Manager of Provider Credentialing(913) 428-1686
- License
- 12010746A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1160 E Lewis and Clark Pkwy
Clarksville, IN 47129-7735
Phone: (812) 945-4040
Fax: (866) 591-0604
Street-level locationGet directions
Mailing address
Po Box 11568
Overland Park, KS 66207-4268
Other names (DBA / former)
- Doing business as
- Immediadent
Registry dates
- Enumerated
- 2008-02-20
- Last updated
- 2017-04-28
Frequently asked questions
- What is Immediadent of Indiana, P.C.'s NPI number?
- Immediadent of Indiana, P.C.'s National Provider Identifier (NPI) is 1578732806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Immediadent of Indiana, P.C.?
- Immediadent of Indiana, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Immediadent of Indiana, P.C. located?
- Immediadent of Indiana, P.C.'s practice location on file with NPPES is 1160 E Lewis and Clark Pkwy, Clarksville, IN 47129-7735.
- What is Immediadent of Indiana, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Immediadent of Indiana, P.C. is (812) 945-4040.
- Who is the authorized official for Immediadent of Indiana, P.C.?
- The authorized official listed on Immediadent of Indiana, P.C.'s NPPES record is Monica Long, Manager of Provider Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Immediadent of Indiana, P.C.'s NPI active?
- Yes — Immediadent of Indiana, P.C.'s NPI (1578732806) is active in the NPPES registry as of the last update on 2017-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.