DANVILLE DOWNTOWN DENTISTRY LLC (NPI# 1053912121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053912121 |
Entity Type | Organization |
Organization Name | DANVILLE DOWNTOWN DENTISTRY LLC |
Practice Address |
94 S Tennessee St Danville IN 46122-1836 |
Mailing Address |
6443 W 10th St Ste 204 Indianapolis IN 46214-6502 |
Practice Telephone | 3177451400 |
Mailing Telephone | 3172479512 |
Enumeration Date | 2020-11-05 |
Last Update Date | 2020-11-05 |
Authorized Official Name | DR. BRENT J BARTA (OWNER) |
Authorized Official Telephone | 3176798506 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Street Address |
94 S TENNESSEE ST |
City | DANVILLE |
State | IN |
Zip Code | 46122-1836 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225520745 | Lilly Finley | Specialist/Technologist | 3571 N County Road 500 E, Danville, IN 46122 | 2018-05-31 |
1780180406 | Megan Marie Allison | Physician Assistant | 100 Hospital Ln Ste 105, Danville, IN 46122 | 2018-04-02 |
1255745709 | Nichole Louise Drilling | Physician Assistant | 1000 E. Main St., Danville, IN 46122 | 2014-06-12 |
1972827335 | Edwin J Jackson Jr. | Internal Medicine | 112 Hospital Ln Ste 303, Danville, IN 46122 | 2010-03-15 |
1144424458 | Monet Williams Bowling | Surgery | 112 Hospital Ln Ste 100, Danville, IN 46122 | 2007-06-12 |
1205957685 | Tricia L Veach | Day Training/Habilitation Specialist | 1600 E Main St, Box 369 (po), Danville, IN 46122 | 2007-04-03 |
1699897645 | Jon Erickson | Dentist | 23 S County Road 200 East, Ste B, Danville, IN 46122 | 2007-04-03 |
1982721429 | Shiela M Balensiefer | Specialist | 1600 E Main Street, Danville, IN 46122 | 2007-03-22 |
1265514277 | Roberta Marie Gray | Registered Nurse | Hendricks Regional Health Partners In Care, 1000 E Main St, Danville, IN 46122 | 2006-10-19 |
1255427886 | John Kingsley Sparzo | Internal Medicine | 1000 E. Main St, Danville, IN 46122 | 2006-10-04 |
Find all providers in zip 46122 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487213583 | Austin Lee Moon | Dentist | 770 Piney Forest Rd Ste A, Danville, VA 24540-2876 | 2019-06-12 |
1306343868 | Danville Dental Associates, PC | Dentist | 5011 Riverside Dr Ste B, Danville, VA 24541-5642 | 2018-04-11 |
1982126322 | Jennifer Hudson Begley | Dentist | 116 Skywatch Dr Ste A, Danville, KY 40422-2537 | 2017-07-07 |
1407392384 | Swati Mukul Kumar | Dentist | 116 Skywatch Dr # A, Danville, KY 40422-2537 | 2017-01-16 |
1922450659 | Samba Norris | Dentist | 706 S Market Street, Danville, OH 43014 | 2016-07-06 |
1639575913 | Riverview Dental Care, P.C. | Dentist | 4035 Riverside Dr, Danville, VA 24541-5152 | 2014-11-13 |
1780097535 | Matthew Murdock | Dentist | 4 Wesner Ln, Danville, PA 17821-8023 | 2014-06-10 |
1871866558 | Stephen Randall Snow | Dentist | 909 San Ramon Valley Blvd Ste 216, Danville, CA 94526-4038 | 2012-02-11 |
1386945368 | Valerie Johnston | Dentist | 156 Diablo Rd, Suite 202, Danville, CA 94526-3312 | 2010-11-08 |
1780901306 | Liza Depetrillo | Dentist | 4165 Blackhawk Plaza Cir Ste 200, Danville, CA 94506-4691 | 2010-04-21 |
Find all providers in DANVILLE |
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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.