OrganizationActive
Indiana Dental Clinic PC
NPI 1790888170 · General Practice Dentistry · Atlanta, IN
Indiana Dental Clinic PC is a General Practice Dentistry organization in Atlanta, IN (NPI 1790888170).
Provider details
- NPI number
- 1790888170
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Fennis Bledsoe, Chief Executive Officer(765) 292-2366
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
29101 St Rd 19
Atlanta, IN 46031
Phone: (765) 292-2366
Fax: (765) 292-2081
Street-level locationGet directions
Mailing address
Po Box 186
Atlanta, IN 46031
Other names (DBA / former)
- Doing business as
- Atlanta Dental Clinic
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2020-08-22
Frequently asked questions
- What is Indiana Dental Clinic PC's NPI number?
- Indiana Dental Clinic PC's National Provider Identifier (NPI) is 1790888170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indiana Dental Clinic PC?
- Indiana Dental Clinic PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Indiana Dental Clinic PC located?
- Indiana Dental Clinic PC's practice location on file with NPPES is 29101 St Rd 19, Atlanta, IN 46031.
- What is Indiana Dental Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Indiana Dental Clinic PC is (765) 292-2366.
- Who is the authorized official for Indiana Dental Clinic PC?
- The authorized official listed on Indiana Dental Clinic PC's NPPES record is Fennis Bledsoe, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indiana Dental Clinic PC's NPI active?
- Yes — Indiana Dental Clinic PC's NPI (1790888170) 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.