Provider Demographics
NPI:1528197076
Name:SITARAM INVESTMENTS, LLC
Entity Type:Organization
Organization Name:SITARAM INVESTMENTS, LLC
Other - Org Name:DENTAL SOLUTIONS BY DR. DIPESH SITARAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIPESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SITARAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-506-8350
Mailing Address - Street 1:105 SOUTH RACEWAY ROAD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46231
Mailing Address - Country:US
Mailing Address - Phone:317-273-9666
Mailing Address - Fax:317-273-9666
Practice Address - Street 1:105 SOUTH RACEWAY ROAD
Practice Address - Street 2:SUITE 140
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46231
Practice Address - Country:US
Practice Address - Phone:317-273-9666
Practice Address - Fax:317-273-9666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010835A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty