MEDICARE: EASTPOINTE FAMILY DENTISTRY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1801649637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTPOINTE FAMILY DENTISTRY, LLC

Provider Business Mailing Address
First Line	:	1002 N MITTHOEFER RD STE B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-2461
Country	:	US
Telephone Number	:	317-898-6666
Fax Number	:	317-898-4965

Provider Business Practice Location Address
First Line	:	1002 N MITTHOEFER RD STE B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-2461
Country	:	US
Telephone Number	:	317-898-6666
Fax Number	:	317-898-4965

Authorized Official
Title or Position	:	OWNER / DENTIST
Name	:	AMANDA MARIE CLEMONS
Credential	:	DDS
Telephone Number	:	317-502-4558

Provider Enumeration Date	:	04/10/2024
Last Update Date	:	04/10/2024

Similar Medicare Providers

1609731637 — BE SEEN, LLC
Practice Location Address:

1002 N MITTHOEFER RD STE A
INDIANAPOLIS, IN
46229-2461

Practice Phone: 317-779-7000
Practice Fax:

1184743890 — DR. GUS PULOS DDS
Practice Location Address:

1002 N MITTHOEFFER RD , SUITE B
INDIANAPOLIS, IN
46229-2461

Practice Phone: 317-898-6666
Practice Fax: 317-898-4965

1114441383 — AMANDA CLEMONS DDS
Practice Location Address:

1002 N MITTHOEFFER RD STE B
INDIANAPOLIS, IN
46229-2461

Practice Phone: 317-898-6666
Practice Fax:

1972016392 — PULOS FAMILY DENTISTRY, LLC
Practice Location Address:

1002 N MITTHOEFFER RD STE B
INDIANAPOLIS, IN
46229-2461

Practice Phone: 317-898-6666
Practice Fax: 317-898-4965

1306603238 — MBS WELLNESS LLC
Practice Location Address:

1002 N MITTHOEFER RD STE A
INDIANAPOLIS, IN
46229-2461

Practice Phone: 317-985-4885
Practice Fax:

1174364822 — DR. BRENDA MAYORGA DE LA CRUZ DDS
Practice Location Address:

1002 N MITTHOEFER RD STE B
INDIANAPOLIS, IN
46229-2461

Practice Phone: 317-898-6666
Practice Fax:

Directions to “EASTPOINTE FAMILY DENTISTRY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.