MEDICARE: ORTHODONTIC EXPERTS OF INDIANA, 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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1306659230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHODONTIC EXPERTS OF INDIANA, LLC

Provider Business Mailing Address
First Line	:	7365 W 10TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-2515
Country	:	US
Telephone Number	:	317-667-0347
Fax Number	:

Provider Business Practice Location Address
First Line	:	7365 W 10TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-2515
Country	:	US
Telephone Number	:	317-667-0347
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	MONIKA BZDAL
Credential	:
Telephone Number	:	773-941-9224

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	01/27/2025

Similar Medicare Providers

1033107958 — CITY OPTICAL CO., INC.
Practice Location Address:

7321 W 10TH ST
INDIANAPOLIS, IN
46214-2515

Practice Phone: 317-271-1319
Practice Fax: 317-924-3741

1194361295 — LIANA TZANETAKOS
Practice Location Address:

7325 W 10TH ST
INDIANAPOLIS, IN
46214-2515

Practice Phone: 317-271-2469
Practice Fax:

1477157626 — HANNAH LOUISA COLEMAN
Practice Location Address:

7325 W 10TH ST
INDIANAPOLIS, IN
46214-2515

Practice Phone: 317-271-2469
Practice Fax:

1891390811 — DAWN HUME
Practice Location Address:

7325 W 10TH ST
INDIANAPOLIS, IN
46214-2515

Practice Phone: 317-271-2469
Practice Fax:

1003570086 — TAYLOR NELSON
Practice Location Address:

7325 W 10TH ST
INDIANAPOLIS, IN
46214-2515

Practice Phone: 317-271-2469
Practice Fax:

1255143152 — SUNNA IMTIAZ AHMAD DDS
Practice Location Address:

7365 W 10TH ST
INDIANAPOLIS, IN
46214-2515

Practice Phone: 855-720-2470
Practice Fax:

Directions to “ORTHODONTIC EXPERTS OF INDIANA, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.