# 360CARE DENTISTRY OF INDIANA LLC

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

## Provider details

- **NPI number:** 1518827096
- **Authorized official:** JOY L STEVENS (VICE PRESIDENT OF REVENUE ASSURANCE)
- **Authorized official phone:** (502) 244-2441

## Contact information

- **Practice address:** 135 N PENNSYLVANIA ST STE 1610, INDIANAPOLIS, IN 46204-2448
- **Practice address phone:** (248) 528-2116
- **Practice address fax:** (502) 996-8282
- **Mailing address:** 135 N PENNSYLVANIA ST STE 1610, INDIANAPOLIS, IN 46204-2448
- **Mailing address phone:** (248) 528-2116
- **Mailing address fax:** (502) 996-8282

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2025
- **Last updated:** 11/17/2025