DR. SRIDHAR MEDA


Address: 1005 East Lasalle Ave, South Bend, IN 46617
Phone: 5742457504

DR. SRIDHAR MEDA (NPI# 1225264054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225264054
Entity Type Individual
Full Name DR. SRIDHAR MEDA
Credential DMD
Practice Address 1005 East Lasalle Ave
South Bend
IN 46617
Mailing Address 14983 Fairfield Dr
Granger
IN 46530
Practice Telephone 5742457504
Enumeration Date 2009-06-08
Last Update Date 2012-10-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 12011708 IN Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
DN1855074 MA Dental Providers

Office Location

Street Address 1005 EAST LASALLE AVE
City SOUTH BEND
State IN
Zip Code 46617

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740731116 Jack Mcintyre Kimmell Specialist/Technologist 1526 East Lasalle, South Bend, IN 46617 2016-10-20
1023429115 Morning View Assisted Living LLC Assisted Living Facility 475 N. Niles Avenue, South Bend, IN 46617 2014-05-12
1265861231 Rebecca Busenbark Physical Therapist 401 E Colfax Ave Ste 102, South Bend, IN 46617 2013-11-11
1962709071 Doreen Danice Huddleston Social Worker 928 East Wayne St, Suit C, South Bend, IN 46617 2011-02-25
1487981734 Mary Cecilia Roemer Marriage & Family Therapist 616 E. Colfax Ave, South Bend, IN 46617 2009-11-06
1063673531 Madeline Christina Watkins Counselor 616 E Colfax, South Bend, IN 46617 2008-06-18
1437366481 Michael Reed Johns Dentist 103 South Eddy Street, South Bend, IN 46617 2007-05-17
1194937680 Sarah Elizabeth Redman Specialist/Technologist 53880 Carmichael Dr., South Bend, IN 46617 2007-05-04
1124241211 Trixy Franke Family Medicine 837 E. Cedar St., Ste 100, South Bend, IN 46617 2007-04-10
1366579005 South Bend Childrens Dentistry PC Dentist 103 S Eddy, South Bend, IN 46617 2007-02-28
Find all providers in zip 46617

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023615796 Himabindu Gogeneni Dentist 3575 Portage Ave Ste A, South Bend, IN 46628-6092 2020-10-06
1699241216 Candace Jane Rich Dentist 220 Dean Johnson Blvd Rm 184, South Bend, IN 46601-3415 2018-10-22
1811325665 Dennis Lee Carter Dentist 53360 Crestview Dr, South Bend, IN 46635-1354 2013-10-14
1598034894 Klopenstine Family Dentistry PC Dentist 52120 State Road 933, South Bend, IN 46637-3846 2011-12-16
1730480898 David Allan Varner Dentist 1902 E Ireland Rd, South Bend, IN 46614-2863 2010-11-05
1952565772 Thomas P Judd Dentist 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 2008-07-10
1265693634 Thomas Gene Magnuson Dentist 4550 S Ironwood Dr, South Bend, IN 46614-9595 2008-06-18
1427259175 Nicole Lambert Hurcomb Dentist 51584 State Road 933, South Bend, IN 46637-1704 2007-05-30
1609092170 Jennifer Roberts Dentist 1605 N Ironwood Dr, South Bend, IN 46635-1843 2007-04-17
1740326636 George Washington Surguy Dentist 521 East Monroe Street, South Bend, IN 46601-2325 2007-01-29
Find all providers in SOUTH BEND

Competitor

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City SOUTH BEND
Zip Code 46617

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Dataset Information

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.

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