# ASSOCIATES IN PEDIATRIC DENTISTRY

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

## Provider details

- **NPI number:** 1689049173
- **Authorized official:** DR. JANET C CLARK DDS (PARTNER)
- **Authorized official phone:** (317) 271-9727

## Contact information

- **Practice address:** 7830 ROCKVILLE RD, SUITE A, INDIANAPOLIS, IN 46214-3129
- **Practice address phone:** (317) 271-9727
- **Practice address fax:** (317) 273-2376
- **Mailing address:** 7830 ROCKVILLE RD, SUITE A, INDIANAPOLIS, IN 46214-3129
- **Mailing address phone:** (317) 271-9727
- **Mailing address fax:** (317) 273-2376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12007616 | IN | — |
| 261QD0000X | Dental Clinic/Center | 12008253 | IN | — |
| 261QD0000X | Dental Clinic/Center | 12008748 | IN | Yes |

## Other

- **Enumeration date:** 12/09/2015
- **Last updated:** 12/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100087220 | — | IN |
| 05 | — | 100130230 | — | IN |
| 05 | — | 100440160C | — | IN |