IndividualActive
Anne Clark, DDS
NPI 1972289759 · Pediatric Dentistry · Indianapolis, IN
Provider details
- NPI number
- 1972289759
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 1972289759 (IN)
Specialties & taxonomies
Dental Providers
Practice location
575 Riley Hospital Dr Suite 4205
Indianapolis, IN 46202
Phone: (317) 944-9604
Approximate (ZIP-level) locationGet directions
Mailing address
575 Riley Hospital Dr Suite 4205
Indianapolis, IN 46202
Registry dates
- Enumerated
- 2023-06-26
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.