ANDERSON PEDIATRIC DENTISTRY (NPI# 1104110923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104110923 |
| Entity Type | Organization |
| Organization Name | ANDERSON PEDIATRIC DENTISTRY |
| Practice Address |
502 E 8th St Anderson IN 46012-4017 |
| Practice Telephone | 7656423263 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2014-09-25 |
| Authorized Official Name | DR. NASSIM FAYEZ OLABI (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Telephone | 7656423263 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12010787A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316244858 | Anderson Pediatric Dentistry | Dentist | 198 Mutual Dr, Anderson, SC 29621-1767 | 2011-02-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Anderson Pediatric Dentistry Inc. | 3650 Colonial Avenue Suite B, Roanoke, Virginia 24018 |
| Street Address |
502 E 8TH ST |
| City | ANDERSON |
| State | IN |
| Zip Code | 46012-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568558393 | Nassim Fayez Olabi | Dentist | 502 E 8th St, Anderson, IN 46012-4017 | 2006-10-05 |
| 1598983025 | Gary Joseph Hinz | Dentist | 502 E 8th St, Anderson, IN 46012-4017 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142358 | Conduct Curb, LLC | Behavioral Analyst | 3084 Broadway Street, Anderson, IN 46012 | 2017-09-07 |
| 1336697119 | Patricia Jones | Specialist/Technologist | 1100 East 5th Street, Anderson, IN 46012 | 2016-09-21 |
| 1558689166 | Amber Marie Rose | Physical Therapy Assistant | 100 N. 16th Street, The Waters of New Castle, New Castle, IN 46012 | 2010-05-06 |
| 1457581134 | Jennifer L Stanley | Nurse Practitioner | 2976 N Scattefield Rd, Suite 101, Anderson, IN 46012 | 2009-07-16 |
| 1427291020 | Richland Township | Ambulance | 405 East 500 North, Anderson, IN 46012 | 2009-04-13 |
| 1326231408 | Jessica R Finn | Speech-Language Pathologist | 2519 E 10th St Ste A, Anderson, IN 46012 | 2007-08-22 |
| 1699974568 | Selah House, Inc | Psychiatric Hospital | 1180 N. 300 East, Anderson, IN 46012 | 2007-07-12 |
| 1619199221 | Lifetime Dental Care of Indiana, PC | Dentist | 777 Broadway, Suite A, Anderson, IN 46012 | 2007-05-03 |
| 1750423265 | Physicians Weight Loss Center | Clinic/Center | 2976 N Scatterfield Rd Suite 121, Anderson, IN 46012 | 2007-02-12 |
| 1235283102 | Gregory Robert Busing | Dentist | 1700 Broadway St, Anderson, IN 46012 | 2007-01-22 |
| Find all providers in zip 46012 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619337722 | Family Orthodontics of Anderson | Dentist | 3416 N Highway 81, Anderson, SC 29621-3628 | 2016-03-02 |
| 1316244858 | Anderson Pediatric Dentistry | Dentist | 198 Mutual Dr, Anderson, SC 29621-1767 | 2011-02-18 |
| 1568558393 | Nassim Fayez Olabi | Dentist | 502 E 8th St, Anderson, IN 46012-4017 | 2006-10-05 |
| 1265942700 | Kevin Nietzer Dmd Pa | Dentist | 198 Mutual Dr, Anderson, SC 29621-1767 | 2017-10-11 |
| 1003295031 | Southern Pediatric Dentistry P.a. | Dentist | 1515 N Fant St, Anderson, SC 29621-4707 | 2015-05-22 |
| 1659710465 | Douglas Collin Bryant | Dentist | 1515 N Fant St, Anderson, SC 29621-4707 | 2013-06-14 |
| 1659642312 | Kevin Christopher Nietzer | Dentist | 198 Mutual Dr, Anderson, SC 29621-1767 | 2012-01-25 |
| 1598983025 | Gary Joseph Hinz | Dentist | 502 E 8th St, Anderson, IN 46012-4017 | 2007-04-22 |
| 1477664977 | Richard William Weinzapfel | Dentist | 1827 N Madison Ave, Anderson, IN 46011 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477186732 | Poplar Pediatric Dentistry LLC | Dentist | 6741 Lexington Cir, Zionsville, IN 46077-9164 | 2020-02-14 |
| 1265074710 | Hendricks Pediatric Dentistry, LLC | Dentist | 1557 Windview, Brownsburg, IN 46112-7641 | 2019-10-16 |
| 1760048748 | Kids Dentistree of In, LLC | Dentist | 1602 W Mcclain Ave, Scottsburg, IN 47170-1161 | 2019-05-15 |
| 1134691090 | Dentistry Just for Kids and Orthodontics, LLC | Dentist | 1107 Ohio St, Terre Haute, IN 47807-3817 | 2018-12-17 |
| 1588159339 | Kids Dentistree of In, LLC | Dentist | 7900 E Us Highway 36 Ste K, Avon, IN 46123-7791 | 2018-06-25 |
| 1285128512 | Schulten Pediatric Dentistry - New Albany LLC | Dentist | 4317 Charlestown Rd, New Albany, IN 47150-8506 | 2018-06-20 |
| 1255843116 | John A. Bozc, D.d.s. PC | Dentist | 520 W Navajo St, West Lafayette, IN 47906-1999 | 2017-11-01 |
| 1316463607 | Emhardt Pediatric Dentistry LLC | Dentist | 1818 N Riley Hwy Ste B, Shelbyville, IN 46176-8572 | 2017-08-17 |
| 1194245225 | Sara Gholam | Dentist | 1121 W Michigan St Rm 280b, Indianapolis, IN 46202 | 2017-06-20 |
| 1245788066 | Eric Ladd, D.d.s. | Dentist | 555 W Us Highway 30, Schererville, IN 46375-2650 | 2016-09-21 |
| Find all providers with the same taxonomy | ||||
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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.