DR. VINICIUS DUTRA D.D.S. NPI 1265091029

NPI Information

  • NPI: 1265091029
  • Provider Name: DR. VINICIUS DUTRA, D.D.S.
  • Classification: Dentist - 1223X0008X
  • Specialization: Oral and Maxillofacial Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1121 W MICHIGAN ST # DS307B
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 274-7433

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NPI Details

DR. Vinicius Dutra, D.D.S. is an oral and maxillofacial radiology dentist in Indianapolis, IN. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. DR. Vinicius Dutra, D.D.S. NPI is 1265091029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1121 W MICHIGAN ST # DS307B
INDIANAPOLIS, IN
ZIP 46202-186
Phone: (317) 274-7433
Fax: (317) 274-2603

The NPI 1265091029 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/6/2019 and was last updated on 6/6/2019.

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
11223X0008XDentistOral and Maxillofacial Radiology98000992AINDIANAYes

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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