Provider Demographics
NPI:1083509723
Name:CASE, ISABELLA ANNE (DDS)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:ANNE
Last Name:CASE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 ALLEN AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-5145
Mailing Address - Country:US
Mailing Address - Phone:260-449-5663
Mailing Address - Fax:
Practice Address - Street 1:3195 W FAIRVIEW RD STE B
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-8499
Practice Address - Country:US
Practice Address - Phone:317-887-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014767A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice