Provider Demographics
NPI:1760812366
Name:AC DENTAL COMPANY LLC
Entity Type:Organization
Organization Name:AC DENTAL COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ALLMAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-250-6272
Mailing Address - Street 1:1040 E 86TH ST STE 40A
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1865
Mailing Address - Country:US
Mailing Address - Phone:317-846-6188
Mailing Address - Fax:
Practice Address - Street 1:1040 E 86TH ST BLDG 40A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1865
Practice Address - Country:US
Practice Address - Phone:317-846-6188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010983A1223G0001X
IN12011666A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty