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Active NPI 1760058366 Individual Practitioner Male Practitioner

Dr. Samuel Braydon Patterson , DDS

Dentist - Endodontics • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Patterson, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Indianapolis, IN. Practice services are available at 9002 N MERIDIAN ST STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9002 N Meridian St Ste 201

Indianapolis, IN 462605350

Telephone 3178464980
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
32 Specialists

Practicing in Indianapolis, IN (94 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-17
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License IN 12013637A

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IN 12013637A

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Mindy Van , DDS, MSD

Dentist - Endodontics

NPI 1063670883

Doctor of Dental Surgery, MSD

Dr. Beverly Leddy , DDS, MSD

Dentist - Endodontics

NPI 1275665432

Doctor of Dental Surgery, MSD

Dr. Adam Broady , DDS

Dentist - Endodontics

NPI 1881123453

Doctor of Dental Surgery

Dr. Charles Steffel , DDS, MSD

Dentist - Endodontics

NPI 1902938855

Doctor of Dental Surgery, MSD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 17, 2025

Registered at 9002 N MERIDIAN ST STE 201, INDIANAPOLIS, IN 462605350 (Tel: 3178464980)

📍
Updated Business Mailing Address March 17, 2025

Registered at 624 E WALNUT ST APT 211, INDIANAPOLIS, IN 462041657

NPI Profile Active June 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2021

Registered at 1481 W 10TH ST, INDIANAPOLIS, IN 462022803 (Tel: 3179881772)

📍
Updated Business Mailing Address June 03, 2021

Registered at 2263 N DELAWARE ST, INDIANAPOLIS, IN 462054380

👤
Provider Name / Credentials Updated June 03, 2021

Recorded as SAMUEL PATTERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2021

Dentist (License #12013637A in IN)

🟢
Initial NPI Registration & Enumeration June 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760058366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2021
Last Update: March 17, 2025
Sole Proprietor: Yes

Mailing Address

624 E Walnut St Apt 211

Indianapolis, IN 462041657

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.