IMMEDIADENT OF INDIANA, PC (NPI# 1194193078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194193078 |
| Entity Type | Organization |
| Organization Name | IMMEDIADENT OF INDIANA, PC |
| Other Organization Name | IMMEDIADENT |
| Practice Address |
1160 E Lewis and Clark Pkwy Clarksville IN 47129-7735 |
| Mailing Address |
Po Box 11568 Overland Park KS 66207-4268 |
| Practice Telephone | 8122844040 |
| Practice Fax Number | 9138006967 |
| Mailing Telephone | 9138006952 |
| Mailing Fax Number | 9138006967 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | AMY WHEELER (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 9138006952 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12010746A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200377170 | 05 |
| Other Name | Type Code |
|---|---|
| Immediadent | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124496005 | Immediadent of Indiana, PC | Dentist | 360 New Albany Plz, New Albany, IN 47150-4654 | 2015-09-09 |
| Street Address |
1160 E LEWIS AND CLARK PKWY |
| City | CLARKSVILLE |
| State | IN |
| Zip Code | 47129-7735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578732806 | Immediadent of Indiana, P.C. | Dentist | 1160 E Lewis and Clark Pkwy, Clarksville, IN 47129-7735 | 2008-02-20 |
| 1326429895 | Christopher Herbst | Dentist | 1160 E Lewis and Clark Pkwy, Clarksville, IN 47129-7735 | 2015-06-10 |
| 1528235470 | Erin Elizabeth Dunaway | Dentist | 1160 E Lewis and Clark Pkwy, Clarksville, IN 47129-7735 | 2008-05-09 |
| 1780857078 | Joseph Alan Norman | Dentist | 1160 E Lewis and Clark Pkwy, Clarksville, IN 47129-7735 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1699261792 | Richard H Milburn | Physical Therapist | Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 | 2018-07-02 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1972870772 | Gail Glasgow | Pharmacist | 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 | 2011-11-22 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1467623629 | Mortenson Family Dental Center- Clarksville, LLC | Dentist | 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 | 2008-03-17 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| Find all providers in zip 47129 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851924369 | Renew Dental | Dentist | 1835 Madison St Ste A, Clarksville, TN 37043-6547 | 2020-02-13 |
| 1861057044 | Hodiah Dmd LLC | Dentist | 6100 Daylong Ln Ste 204, Clarksville, MD 21029-1655 | 2019-05-03 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1972064186 | Tania Faruqi | Dentist | 1777 Madison St Ste 100, Clarksville, TN 37043-4912 | 2019-03-29 |
| 1689176471 | Tiny Town Smiles Dentistry, PC | Dentist | 1466 Tiny Town Rd Ste A, Clarksville, TN 37042-8292 | 2018-03-07 |
| 1871095133 | Hnarakis Dental Pllc | Dentist | 894 Highway 76 Ste 105, Clarksville, TN 37043-5396 | 2018-03-02 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| 1154862035 | Rg Dental Jeffersonville LLC | Dentist | 1005 E Lewis and Clark Pkwy, Clarksville, IN 47129-2201 | 2017-03-13 |
| 1104362946 | Clarksville Modern Dentistry,pc | Dentist | 1777 Madison Ste Suite 100, Clarksville, TN 37043 | 2017-01-18 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 47129 |
Please comment or provide details below to improve the information on IMMEDIADENT OF INDIANA, PC.
| 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.