MEDICARE: DENISE A FLANAGAN DDS

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	12009664	IN
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	12009664	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000093138	OTHER	IN	ANTHEM BLUE CROSS

General Provider Information

NPI Number	:	1568434827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE A FLANAGAN DDS

Provider Business Mailing Address
First Line	:	8240 NAAB ROAD
Second Line	:	STE 355
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260
Country	:	US
Telephone Number	:	317-876-1095
Fax Number	:	317-875-7275

Provider Business Practice Location Address
First Line	:	8240 NAAB ROAD
Second Line	:	STE 355
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260
Country	:	US
Telephone Number	:	317-876-1095
Fax Number	:	317-875-7275

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	01/20/2026

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