Healthcare Provider Details

I. General information

NPI: 1578138103
Provider Name (Legal Business Name): RAVEN ALLIANDRA TOYER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11683 FOX RD
INDIANAPOLIS IN
46236-8423
US

IV. Provider business mailing address

12130 DRIFTSTONE DR
FISHERS IN
46037-8406
US

V. Phone/Fax

Practice location:
  • Phone: 317-826-4347
  • Fax:
Mailing address:
  • Phone: 317-657-0419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number12013612A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: