Healthcare Provider Details

I. General information

NPI: 1821955303
Provider Name (Legal Business Name): JULIAN SHAMSAIE DDS DENTAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3132 W SR 38
PENDLETON IN
46064
US

IV. Provider business mailing address

3132 W SR 38
PENDLETON IN
46064
US

V. Phone/Fax

Practice location:
  • Phone: 765-778-7585
  • Fax: 765-778-0795
Mailing address:
  • Phone: 765-778-7585
  • Fax: 765-778-0795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JULIAN SHAMSAIE
Title or Position: DENTIST - PRACTICE OWNER
Credential: DDS
Phone: 812-230-1036