# PROFESSIONAL DENTAL SERVICES OF INDIANA PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bright Tiger Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023638293
- **Authorized official:** DONALD SWOVERLAND DDS (DENTIST/OWNER)
- **Authorized official phone:** (913) 355-1121

## Contact information

- **Practice address:** 4960 S EMERSON AVE, INDIANAPOLIS, IN 46203-5937
- **Practice address phone:** (317) 886-1578
- **Mailing address:** 10601 MISSION RD STE 240, LEAWOOD, KS 66206-2427
- **Mailing address phone:** (913) 355-1121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2020
- **Last updated:** 04/17/2020