MEDICARE: DENTISTRY BY DMK, 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	122300000X	Dentist

General Provider Information

NPI Number	:	1134081110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTISTRY BY DMK, LLC

Provider Business Mailing Address
First Line	:	711 COTTAGE AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203-2710
Country	:	US
Telephone Number	:	317-383-6116
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 E 62ND ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-2934
Country	:	US
Telephone Number	:	317-251-2371
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIELLE KLUTTZ
Credential	:	DDS
Telephone Number	:	317-383-6116

Provider Enumeration Date	:	11/28/2025
Last Update Date	:	11/28/2025

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Directions to “DENTISTRY BY DMK, LLC ” Practice Location

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