# KIDS & ADULT DENTISTRY INC

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

## Provider details

- **NPI number:** 1629703202
- **Authorized official:** RUPINDER GILL NAGRA DDS (CEO)
- **Authorized official phone:** (317) 828-0352

## Contact information

- **Practice address:** 7968 PENDLETON PIKE, INDIANAPOLIS, IN 46226-3957
- **Practice address phone:** (317) 828-0352
- **Mailing address:** 7214 MISTY WOODS LN, INDIANAPOLIS, IN 46237-9482
- **Mailing address phone:** (317) 828-0352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2022
- **Last updated:** 07/19/2022