CROSSROADS DSM LLC NPI 1215406053

NPI Information

  • NPI: 1215406053
  • Provider Name: CROSSROADS DSM LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 3750 GUION RD STE 280
    INDIANAPOLIS, IN
    ZIP 46222
  • Phone: (765) 335-6694

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NPI Details

CROSSROADS DSM LLC is a dental clinic center in Indianapolis, IN. CROSSROADS DSM LLC NPI is 1215406053. The provider is registered as an organization entity type.

The provider's business location address is:

3750 GUION RD STE 280
INDIANAPOLIS, IN
ZIP 46222-696
Phone: (765) 335-6694

The provider's authorized official is Clayton Thomas Craig .
The authorized official title is Ceo and has the following contact phone number (765) 335-6694.

The enumeration date for this NPI number is 11/23/2018 and was last updated on 11/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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