Organization
HOOSIER DENTAL IN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN YEPES (OWNER)
(317) 938-1181
Entity
Organization
Contact information
Practice address
10820 PENDLETON PIKE STE B, INDIANAPOLIS, IN 46236-2952
(317) 597-0184
Mailing address
PO BOX 83110, PHILADELPHIA, PA 19182-0001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/16/2026
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