Healthcare Provider Details

I. General information

NPI: 1497604789
Provider Name (Legal Business Name): SHALYN MAJOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 W MICHIGAN ST
INDIANAPOLIS IN
46202-5186
US

IV. Provider business mailing address

1145 MADRID RD
GREENWOOD IN
46143-2658
US

V. Phone/Fax

Practice location:
  • Phone: 317-274-7433
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12015122A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: