DENTAL PROFESSIONALS OF INDIANA, P.C. (NPI# 1154543635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154543635 |
Entity Type | Organization |
Organization Name | DENTAL PROFESSIONALS OF INDIANA, P.C. |
Other Organization Name | FAMILY DENTAL CARE |
Practice Address |
8079 Madison St Merrillville IN 46410-5465 |
Practice Telephone | 2197697855 |
Practice Fax Number | 2197697856 |
Mailing Telephone | 2197697855 |
Mailing Fax Number | 2197697856 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2014-02-05 |
Authorized Official Name | JENNIFER HOELSCHER (INSURANCE/CREDENTIALING) |
Authorized Official Telephone | 2175405100 |
Is Organization Subpart | Y |
Parent Organization Name | DENTAL PROFESSIONALS OF INDIANA, P.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
Family Dental Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861027609 | Dental Professionals of Indiana, P.C. | Dentist | 415 Waterfall Dr Ste A, Elkhart, IN 46516-3660 | 2020-03-11 |
1538686555 | Dental Professionals of Indiana, P.C. | Dentist | 7103 Whitestown Pkwy, Zionsville, IN 46077-7626 | 2017-08-30 |
1073030979 | Dental Professionals of Indiana, P.C. | Dentist | 7103 Whitestown Parkway, Whitestown, IN 46075 | 2017-08-23 |
1114130432 | Dental Professionals of Indiana, P.C. | Dentist | 2362 W Blvd, Suite B, Kokomo, IN 46902 | 2007-05-07 |
1013139542 | Dental Professionals of Indiana, P.C. | Dentist | 2362 West Blvd, Suite A, Kokomo, IN 46902 | 2007-05-03 |
1376765503 | Dental Professionals of Indiana, P.C. | Dentist | 5250 Us Hwy 36, Suite 160, Avon, IN 46123 | 2007-05-03 |
1881816007 | Dental Professionals of Indiana, P.C. | Dentist | 103 Osceola Ave, Osceola, IN 46561 | 2007-05-03 |
1306058417 | Dental Professionals of Indiana, P.C. | Dentist | 1515 W 45th Ave, Griffith, IN 46319 | 2007-05-03 |
1881816320 | Dental Professionals of Indiana, P.C. | Dentist | 1516 Lynch Lane, Ste A, Clarksville, IN 47129 | 2007-05-03 |
1407068596 | Dental Professionals of Indiana, P.C. | Dentist | 601 Library Park, Suite B-1, Greenwood, IN 46142 | 2007-05-03 |
Street Address |
8079 MADISON ST |
City | MERRILLVILLE |
State | IN |
Zip Code | 46410-5465 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205157815 | Bogun Lee | Dentist | 8079 Madison St, Merrillville, IN 46410-5465 | 2010-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
Find all providers in zip 46410 |
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 |
---|---|---|---|---|
1932672052 | Secure Dental Ix LLC | Dentist | 2381 E 80th Ave, Merrillville, IN 46410-5722 | 2019-01-11 |
1245725340 | Christopher Lukasik | Dentist | 55 E 86th Ave Ste C, Merrillville, IN 46410-6265 | 2018-06-30 |
1396267357 | Trent Allan Jones | Dentist | 6 W Lincoln Hwy, Merrillville, IN 46410 | 2017-07-12 |
1861921454 | Ramez Magdy Saweres | Dentist | 532 E 81st Ave, Merrillville, IN 46410-5599 | 2017-06-07 |
1669825832 | Timothy John Kamp | Dentist | 303 W 89th Ave Ste E2, Merrillville, IN 46410-6295 | 2016-07-22 |
1134489198 | Chris David Kutanovski | Dentist | 9205 Broadway Ste A, Merrillville, IN 46410-7061 | 2012-05-24 |
1548549439 | Igor Ristevski | Dentist | 233 E. 84th Drive, Suite 106, Merrillville, IN 46410-6465 | 2011-08-09 |
1619191657 | Jill Halcarz | Dentist | 1000 E 80th Pl Ste 523, Merrillville, IN 46410-5608 | 2007-04-12 |
1407079320 | Hugh P Seller | Dentist | 105 W 78th Pl, Merrillville, IN 46410-5468 | 2007-04-10 |
1437287729 | Michael Hyukki Min | Dentist | 1410 E 85th Ave, Merrillville, IN 46410-8905 | 2007-03-01 |
Find all providers in MERRILLVILLE |
City | MERRILLVILLE |
Zip Code | 46410 |
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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.