HENDRICKS PEDIATRIC DENTISTRY, LLC (NPI# 1265074710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265074710 |
| Entity Type | Organization |
| Organization Name | HENDRICKS PEDIATRIC DENTISTRY, LLC |
| Practice Address |
1557 Windview Brownsburg IN 46112-7641 |
| Practice Telephone | 5023143330 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | ANDREA SHELTON (DENTIST) |
| Authorized Official Telephone | 5023143330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201375550 | 05 | |
| NPI TYPE 1 | 1194160267 | 01 | |
| IN | IN DENTAL LICENSE | 12012911A | 01 |
| Street Address |
1557 WINDVIEW |
| City | BROWNSBURG |
| State | IN |
| Zip Code | 46112-7641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466448 | Adrianne Wagoner | Dietitian, Registered | 6535 Branches Dr, Brownsburg, IN 46112 | 2020-01-15 |
| 1649710336 | Sarah Schmitt | Nurse Practitioner | 21 West Main Street, Brownsburg, IN 46112 | 2017-03-01 |
| 1245777507 | Kaden Sloan | Specialist/Technologist | 7964 Acre Ln, Brownsburg, IN 46112 | 2017-01-25 |
| 1700244779 | Hendricks Community Hospital | Clinic/Center | 321 N. Northfield Drive, Suite 100, Brownsburg, IN 46112 | 2016-02-05 |
| 1821462490 | Harmony Home Care LLC | In Home Supportive Care | 2807 Avebury Way, Brownsburg, IN 46112 | 2015-11-19 |
| 1538546742 | Sorgi Sports LLC | Durable Medical Equipment & Medical Supplies | 1531 E. Northfield Dr. Suite 300, Brownsburg, IN 46112 | 2015-04-27 |
| 1083013692 | Tana Gehring | Physical Therapist | 7249 Arbuckle Cmns Ste A, Brownsburg, IN 46112 | 2014-08-19 |
| 1871919597 | Tammy Sarmiento | Clinic/Center | 21 W. Main Street, Brownsburg, IN 46112 | 2014-03-06 |
| 1194160267 | Andrea Chadwick Shelton | Dentist | 1141 S. Green Street, Brownsburg, IN 46112 | 2013-05-02 |
| 1588949457 | Kathleen A Shoemaker | Pharmacist | 20 W. Main Street, Brownsburg, IN 46112 | 2011-10-11 |
| Find all providers in zip 46112 | ||||
| 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 |
|---|---|---|---|---|
| 1528002276 | John R. Wells | Dentist | 1411 S Green St, Suite #110, Brownsburg, IN 46112-2049 | 2006-06-15 |
| 1013954726 | John R. Wells, D.m.d., P. S. C. | Dentist | 1411 S Green St, Suite #110, Brownsburg, IN 46112-2049 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477186732 | Poplar Pediatric Dentistry LLC | Dentist | 6741 Lexington Cir, Zionsville, IN 46077-9164 | 2020-02-14 |
| 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 |
| 1629443544 | Allison C Scully | Dentist | 1121 W Michigan Street Ds307b, Indianapolis, IN 46202-5186 | 2015-12-03 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSBURG |
| Zip Code | 46112 |
Please comment or provide details below to improve the information on HENDRICKS PEDIATRIC DENTISTRY, LLC.
| 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.