OrganizationActive
Park Pediatric Dentistry LLC
NPI 1730610833 · Pediatric Dentistry · Greenwood, IN
Provider details
- NPI number
- 1730610833
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lesa Allison, Owner, Managing Member(317) 627-1755
- License
- 12011836A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 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
1700 W Smith Valley Rd
Suite B1
Greenwood, IN 46142-1599
Phone: (317) 627-1755
Street-level locationGet directions
Mailing address
Po Box 441143
Indianapolis, IN 46244-1143
Registry dates
- Enumerated
- 2017-03-21
- Last updated
- 2017-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.