# JP DENTAL - KEYSTONE LLC

> 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
- **Other names:** Northview Dental on Keystone
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245751486
- **Authorized official:** JOHN PASICZNYK DDS (MANAGER)
- **Authorized official phone:** (317) 731-6636

## Contact information

- **Practice address:** 7102 N KEYSTONE AVE, INDIANAPOLIS, IN 46240-3242
- **Practice address phone:** (317) 731-6636
- **Mailing address:** 7102 N KEYSTONE AVE, INDIANAPOLIS, IN 46240-3242
- **Mailing address phone:** (317) 731-6636

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2017
- **Last updated:** 07/21/2022