| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1013952696 | INDY EAST SMILES YOUTH DENTISTRY LLC | 5430 EAST WASHINGTON STREET | INDIANAPOLIS | IN | 46219 | |||
| 1023189297 | FRASIER | JEREMIAH | J | 201 W 8TH ST | PUEBLO | CO | 810033038 | |
| 1801027297 | GHEBREMICHAEL | ESTHER | RUSSTOM | 201 W 8TH ST | PUEBLO | CO | 810033038 | |
| 1013390780 | KARIMZADEH | ARMAUN | 5430 E WASHINGTON ST | INDIANAPOLIS | IN | 462196446 | ||
| 1649687740 | KHAN | SARA | 5430 E WASHINGTON ST | INDIANAPOLIS | IN | 462196446 | ||
| 1841361011 | LEGAULT | KENNETH | 415 N GRAND AVE | PUEBLO | CO | 810033111 | ||
| 1649207267 | MCBRIDE | D | RICHARD | 415 N GRAND AVE | PUEBLO | CO | 810033111 | |
| 1760553937 | PETERSON | HELEN | KATIE | 5430 EAST WASHINGTON STREET, SUITE 101 | INDIANAPOLIS | IN | 46219 | |
| 1144413576 | REID | AMBER | 201 W 8TH ST | PUEBLO | CO | 810033038 | ||
| 1174849830 | UDEOZO | KENECHI | FLORENCE | 201 W 8TH ST | PUEBLO | CO | 810033038 |