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Immediadent of Indiana, PC

Dentist in Clarksville, IN · enumerated 2015 · authorized official Amy Wheeler, Credentialing Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194193078

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Registry record

Entity type Organization (Type 2)
Legal business name Immediadent of Indiana, PC
Other name <Unavail>
Practice address 1160 E Lewis and Clark Pkwy, Clarksville, IN, 47129
Phone (812) 284-4040
Fax (913) 800-6967
Enumeration date Sep 9, 2015
Last updated in NPPES Sep 9, 2015

Taxonomy & classification

122300000X Dentist Dental Providers · License 12010746A (IN) Primary

Authorized official

Name Amy Wheeler
Title Credentialing Coordinator
Phone (913) 800-6952

Other identifiers

Identifier Type State Issuer
200377170 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Immediadent of Indiana, PC?
The NPI for Immediadent of Indiana, PC is 1194193078, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Immediadent of Indiana, PC?
NPPES lists Amy Wheeler (Credentialing Coordinator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-09.