OrganizationActive
Northeast Dental Group, Inc
NPI 1710006143 · General Practice Dentistry · Indianapolis, IN
Northeast Dental Group, Inc is a General Practice Dentistry organization in Indianapolis, IN (NPI 1710006143).
Provider details
- NPI number
- 1710006143
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gerald Levin, President(317) 596-9700
- License
- 12007689A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
8202 Clearvista Pkwy
Ste 10a
Indianapolis, IN 46256-1400
Phone: (317) 596-9700
Street-level locationGet directions
Mailing address
8202 Clearvista Pkwy
Indianapolis, IN 46256-1400
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2020-08-22
Frequently asked questions
- What is Northeast Dental Group, Inc's NPI number?
- Northeast Dental Group, Inc's National Provider Identifier (NPI) is 1710006143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Dental Group, Inc?
- Northeast Dental Group, Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Northeast Dental Group, Inc located?
- Northeast Dental Group, Inc's practice location on file with NPPES is 8202 Clearvista Pkwy, Indianapolis, IN 46256-1400.
- What is Northeast Dental Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Northeast Dental Group, Inc is (317) 596-9700.
- Who is the authorized official for Northeast Dental Group, Inc?
- The authorized official listed on Northeast Dental Group, Inc's NPPES record is Gerald Levin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Dental Group, Inc's NPI active?
- Yes — Northeast Dental Group, Inc's NPI (1710006143) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.