GREENFIELD PERIODONTICS LLC (NPI# 1053766501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053766501 |
Entity Type | Organization |
Organization Name | GREENFIELD PERIODONTICS LLC |
Other Organization Name | GREENFIELD PERIODONTICS AND IMPLANT DENTISTIRY |
Practice Address |
120 W Mckenzie Rd Ste J Greenfield IN 46140-1072 |
Practice Telephone | 3174773000 |
Practice Fax Number | 3174773002 |
Mailing Telephone | 3174773000 |
Mailing Fax Number | 3174773002 |
Enumeration Date | 2016-05-03 |
Last Update Date | 2016-05-03 |
Authorized Official Name | JULIE COMBS (OWNER) |
Authorized Official Telephone | 3174773000 |
Authorized Official Credential | DDS MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
12011410A | IN | Dental Providers |
Other Name | Type Code |
---|---|
Greenfield Periodontics and Implant Dentistiry | Other Name - Individual/Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | GREENFIELD PERIODONTICS LLC | 120 W Mckenzie Rd, Greenfield, IN 46140-1072 |
Street Address |
120 W MCKENZIE RD STE J |
City | GREENFIELD |
State | IN |
Zip Code | 46140-1072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639161896 | Melinda A. Cobb | Psychiatry & Neurology | 120 W Mckenzie Rd, Suite F, Greenfield, IN 46140-1072 | 2005-08-15 |
1194056697 | Julie Lynn Combs | Dentist | 120 W Mckenzie Rd, J, Greenfield, IN 46140-3084 | 2010-01-22 |
1427221456 | Malissa S Boyd-woodard | Social Worker | 120 W Mckenzie Rd, Suite F, Greenfield, IN 46140-3084 | 2008-04-10 |
1588779532 | Pamela D Kinney | Social Worker | 120 W Mckenzie Rd, Suite F, Greenfield, IN 46140-1072 | 2006-08-20 |
1124036041 | Community Hospitals of Indiana | Family Medicine | 120 W Mckenzie Rd, Suite J, Greenfield, IN 46140-3084 | 2006-08-04 |
1053355974 | Ray A Haas | Family Medicine | 120 W Mckenzie Rd, Suite H, Greenfield, IN 46140-3084 | 2006-06-15 |
1619915576 | Delynn M Williams | Psychiatry & Neurology | 120 W Mckenzie Rd, Suite F, Greenfield, IN 46140-1072 | 2006-06-03 |
1194772467 | Community Hospitals of Indiana, Inc | Family Medicine | 120 W Mckenzie Rd, Suite B, Greenfield, IN 46140-3084 | 2006-05-30 |
1184677148 | Community Hospitals of Indiana, Inc | Family Medicine | 120 W Mckenzie Rd, Suite A, Greenfield, IN 46140-3084 | 2006-05-18 |
1689648867 | Andrea J. Baker II | Counselor | 120 W Mckenzie Rd, Suite F, Greenfield, IN 46140-1072 | 2006-02-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417504655 | Megan Snider | Nurse Practitioner | 1120 S Jacobi Rd, Greenfield, IN 46140 | 2019-08-22 |
1598319048 | Paul Vernon Runyan Jr. | Counselor | 5486 W Us Highway 40, Greenfield, IN 46140 | 2019-08-01 |
1467928457 | Candace Kay Roudebush | Developmental Therapist | 1342 Fairview Dr, Greenfield, IN 46140 | 2018-10-17 |
1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
1255794178 | Claire Lubbers | Nurse Practitioner | 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 | 2016-03-29 |
1376905752 | Justin Donat | Pharmacist | 2181 N West Bay Dr Apt D, Greenfield, IN 46140 | 2016-03-24 |
1265716476 | Kathleen Theresa Picard-nance | Pharmacist | 1195 N State Street, Greenfield, IN 46140 | 2011-10-06 |
1780991513 | Melinda Sue Wolfe | Midwife, Lay | 1929 Declaration Dr, Greenfield, IN 46140 | 2010-08-31 |
1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
1790903177 | Christina Renee Mcqueeney | Audiologist | 1834 Fields Blvd, Greenfield, IN 46140 | 2007-04-23 |
Find all providers in zip 46140 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821318361 | Jonell K. Hopeck, Dds, PC | Dentist | 33 Riddell St Ste 6, Greenfield, MA 01301-2026 | 2010-06-07 |
1558436121 | Steven Henry Goldsher | Dentist | 289 High Street, Greenfield, MA 01301 | 2006-11-21 |
1235132192 | Constantine Stamatelakys | Dentist | 2933 W Layton Ave, Greenfield, WI 53221-2626 | 2005-05-24 |
1013482298 | Dental Specialists of Milwaukee LLC | Dentist | 8405 W Forest Home Ave, Greenfield, WI 53228-3407 | 2018-10-03 |
1770911976 | Premier Periodontics LLC | Dentist | 2933 W Layton Ave, Greenfield, WI 53221-2626 | 2013-10-24 |
1265743488 | Eddie Morales | Dentist | 2933 W Layton Ave, Greenfield, WI 53221-2626 | 2010-06-23 |
1386830883 | Frederick D. Mesloh PC | Dentist | 33 Riddell St, Greenfield, MA 01301-2025 | 2007-09-18 |
1962553834 | Progressive Periodonitics and Dental Implants | Dentist | 8405 W Forest Home Ave, Suite 203, Greenfield, WI 53228-3407 | 2007-01-16 |
1841303278 | Steven A Geller | Dentist | 33 Riddell St, Greenfield, MA 01301-2025 | 2006-08-17 |
1598773764 | Timothy J Mcnamara | Dentist | 8405 W Forest Home Ave, Suite 203, Greenfield, WI 53228-3407 | 2006-08-04 |
Find all providers in GREENFIELD |
City | GREENFIELD |
Zip Code | 46140 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.