# HOOSIER DENTAL IN LLC

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

## Provider details

- **NPI number:** 1639025638
- **Authorized official:** JUAN YEPES (OWNER)
- **Authorized official phone:** (317) 938-1181

## Contact information

- **Practice address:** 10820 PENDLETON PIKE STE B, INDIANAPOLIS, IN 46236-2952
- **Practice address phone:** (317) 597-0184
- **Mailing address:** PO BOX 83110, PHILADELPHIA, PA 19182-0001

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2026
- **Last updated:** 03/16/2026