# SHANK CENTER FOR DENTISTRY LLC

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

## Provider details

- **NPI number:** 1548565831
- **Authorized official:** DR. KYLE WESLEY SHANK D.D.S. (SOLE MEMBER)
- **Authorized official phone:** (317) 788-4239

## Contact information

- **Practice address:** 6904 S EAST ST, SUITE F, INDIANAPOLIS, IN 46227-2693
- **Practice address phone:** (317) 788-4239
- **Mailing address:** 6904 S EAST ST, SUITE F, INDIANAPOLIS, IN 46227-2693
- **Mailing address phone:** (317) 788-4239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1201391A | IN | Yes |
| 1223G0001X | General Practice Dentistry | 1201391A | IN | — |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 01/30/2017