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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Immediadent of Indiana, P.C.

Dentist in Clarksville, IN · enumerated 2008 · authorized official Monica Long, Manager of Provider Credentialing.

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

National Provider Identifier

1578732806

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Registry record

Entity type Organization (Type 2)
Legal business name Immediadent of Indiana, P.C.
Other name <Unavail>
Parent organization Immediadent of Indiana, P.C.
Practice address 1160 E Lewis and Clark Pkwy, Clarksville, IN, 47129
Fax (866) 591-0604
Enumeration date Feb 20, 2008
Last updated in NPPES Apr 28, 2017

Taxonomy & classification

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

Authorized official

Name Monica Long
Title Manager of Provider Credentialing

Other identifiers

Identifier Type State Issuer
200377170H 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

Where is Immediadent of Indiana, P.C. located?
The practice location on file with NPPES is in Clarksville, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-04-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-28.