Healthcare Provider Details

I. General information

NPI: 1457283749
Provider Name (Legal Business Name): JOSEPH HOUSTON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8853 ROCKVILLE RD
INDIANAPOLIS IN
46234-2731
US

IV. Provider business mailing address

8853 ROCKVILLE RD
INDIANAPOLIS IN
46234-2731
US

V. Phone/Fax

Practice location:
  • Phone: 317-271-2000
  • Fax:
Mailing address:
  • Phone: 317-271-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number12014989A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: