OrganizationActive
Plymouth 20/20 Dental, LLC
NPI 1689122491 · General Practice Dentistry · Plymouth, IN
Plymouth 20/20 Dental, LLC is a General Practice Dentistry organization in Plymouth, IN (NPI 1689122491).
Provider details
- NPI number
- 1689122491
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- 20/20 Dental, LLC
- Organization subpart
- Yes
- Authorized official
- Ronald Prokes, Chief Financial Officer(317) 601-6010
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1409 N Michigan St
Plymouth, IN 46563-1119
Phone: (574) 936-8787
Street-level locationGet directions
Mailing address
1409 N Michigan St
Plymouth, IN 46563-1119
Registry dates
- Enumerated
- 2016-09-21
- Last updated
- 2016-09-21
Frequently asked questions
- What is Plymouth 20/20 Dental, LLC's NPI number?
- Plymouth 20/20 Dental, LLC's National Provider Identifier (NPI) is 1689122491, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Plymouth 20/20 Dental, LLC?
- Plymouth 20/20 Dental, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Plymouth 20/20 Dental, LLC located?
- Plymouth 20/20 Dental, LLC's practice location on file with NPPES is 1409 N Michigan St, Plymouth, IN 46563-1119.
- What is Plymouth 20/20 Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Plymouth 20/20 Dental, LLC is (574) 936-8787.
- Who is the authorized official for Plymouth 20/20 Dental, LLC?
- The authorized official listed on Plymouth 20/20 Dental, LLC's NPPES record is Ronald Prokes, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Plymouth 20/20 Dental, LLC's NPI active?
- Yes — Plymouth 20/20 Dental, LLC's NPI (1689122491) is active in the NPPES registry as of the last update on 2016-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.