# WINDING RIDGE DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134671241
- **Authorized official:** DR. SULAIMAN SHALTONI DDS (OWNER)
- **Authorized official phone:** (317) 559-5955

## Contact information

- **Practice address:** 10930 PENDLETON PIKE, SUITE 104, INDIANAPOLIS, IN 46236-2856
- **Practice address phone:** (317) 595-5955
- **Mailing address:** 10930 PENDLETON PIKE, SUITE 104, INDIANAPOLIS, IN 46236-2856
- **Mailing address phone:** (317) 595-5955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12012029B | IN | Yes |

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 10/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1578798963 | INDIVIDUAL NPI | — |