# DENTAL PROFESSIONALS OF INDIANA, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF INDIANA, PC
- **Other names:** Dental Care of Shelbyville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215306790
- **Legal business name:** DENTAL PROFESSIONALS OF INDIANA, PC
- **Authorized official:** KENDRA WALKER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8312

## Contact information

- **Practice address:** 1828 E STATE ROAD 44, SUITE 300, SHELBYVILLE, IN 46176-1814
- **Practice address phone:** (317) 671-8043
- **Mailing address:** 1828 E STATE ROAD 44, SUITE 300, SHELBYVILLE, IN 46176-1814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2015
- **Last updated:** 09/15/2015