Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316187016 Individual Practitioner Male Practitioner

Dr. Larry A Crisafulli , DDS

Dentist - General Practice • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Dr. Larry Crisafulli, DDS is a registered healthcare professional specializing in Dentist - General Practice in Indianapolis, IN. Practice services are available at 1121 W MICHIGAN STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1121 W Michigan Street
Ds307b

Indianapolis, IN 462025186

Telephone 3172783632
Fax 3172742603
Associated Practice Facility / Clinic
🏢 Indiana University Facility NPI 1689790552

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
420 Specialists

Practicing in Indianapolis, IN (2204 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12012038A

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

22 Associated Practitioners
Dr. Paramjeet Sagoo , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1225567316

Doctor of Dental Surgery

Dr. Michael Iczkovitz , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1235159930

Doctor of Dental Surgery

Dr. Vinicius Dutra , DDS

Dentist - Oral and Maxillofacial Radiology

NPI 1265091029

Doctor of Dental Surgery

Dr. Jeannie Vickery , DDS

Dentist - Prosthodontics

NPI 1265769780

Doctor of Dental Surgery

Dr. William Chung , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1295716322

Doctor of Dental Surgery

Dr. Paul Edwards , DDS

Dentist - Oral and Maxillofacial Pathology

NPI 1356334072

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2016

Registered at 1121 W MICHIGAN STREET, DS307B, INDIANAPOLIS, IN 462025186 (Tel: 3172783632)

📍
Updated Business Mailing Address November 15, 2016

Registered at 1121 W MICHIGAN STREET, DS307B, INDIANAPOLIS, IN 462025186 (Tel: 2023322291)

👤
Provider Name / Credentials Updated November 15, 2016

Recorded as LARRY CRISAFULLI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2016

Dentist (License #12012038A in IN)

🟢
Initial NPI Registration & Enumeration February 20, 2009

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: 1316187016
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2009
Last Update: November 15, 2016
Sole Proprietor: No

Mailing Address

1121 W Michigan Street, Ds307b

Indianapolis, IN 462025186

Phone: 2023322291

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.