DR. SHADRACH G GONQUEH (NPI# 1275791709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275791709 |
| Entity Type | Individual |
| Full Name | DR. SHADRACH G GONQUEH |
| Credential | DDS |
| Practice Address |
1800 Fort Harrison Rd Terre Haute IN 47804-1413 |
| Mailing Address |
4151 Hanna Village Dr Apt D Indianapolis IN 46227-9433 |
| Practice Telephone | 8124666527 |
| Mailing Telephone | 3177818414 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12011150A | IN | Dental Providers |
| Street Address |
1800 FORT HARRISON RD |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47804-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902305386 | Sherryl Mary Mathew | Dentist | 1800 Fort Harrison Rd, Terre Haute, IN 47804-1413 | 2018-02-12 |
| 1669855532 | Sawan Prabhu | Dentist | 1800 Fort Harrison Rd, Terre Haute, IN 47804-1413 | 2015-07-09 |
| 1841586443 | Richelle Orman | Dentist | 1800 Fort Harrison Rd, Terre Haute, IN 47804-1413 | 2011-06-22 |
| 1790070670 | Virgil R. Lungu Jr. | Dentist | 1800 Fort Harrison Rd, Terre Haute, IN 47804-1413 | 2011-06-18 |
| 1114211067 | Allison Gardiner | Dentist | 1800 Fort Harrison Rd, Terre Haute, IN 47804-1413 | 2011-06-07 |
| 1831326420 | Sara Jo Willingham White | Dentist | 1800 Fort Harrison Rd, Terre Haute, IN 47804-1413 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
| 1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
| 1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
| 1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
| 1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
| 1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
| 1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1093894057 | Isaac N Mitre | Obstetrics & Gynecology | 1623 N 4th Street, Terre Haute, IN 47804 | 2006-11-02 |
| 1386640886 | Major Hospital | Skilled Nursing Facility | 3150 N. 7th St, Terre Haute, IN 47804 | 2005-06-21 |
| Find all providers in zip 47804 | ||||
| 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 |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1922587351 | Terry J. Gilman, D.d.s. | Dentist | 3401 S 7th St, Terre Haute, IN 47802-4016 | 2018-08-07 |
| 1053852202 | Optim Dental -1 LLC | Dentist | 3353 S Us Highway 41 Unit 3369, Terre Haute, IN 47802-3727 | 2017-03-20 |
| 1750669388 | Grant Thomas Abernathey | Dentist | 4700bureau Rd S, Fcc Terre Haute Dental Unit, Terre Haute, IN 47802 | 2011-08-01 |
| 1134424930 | Carl A. Smudde | Dentist | 1608 Lafayette Ave, Terre Haute, IN 47804-2021 | 2011-01-26 |
| 1942501333 | Paul F. Zwerner II | Dentist | 1190 Maple Ave., Terre Haute, IN 47804-2939 | 2010-11-16 |
| 1962738898 | Philco Group LLC | Dentist | 3363 S Us Highway 41, Terre Haute, IN 47802-3727 | 2009-10-28 |
| 1174704860 | Jennifer Renee Duchane | Dentist | 3315 S 7th St, Terre Haute, IN 47802 | 2007-11-21 |
| 1558573600 | Dental Professionals of Indiana, P.C. | Dentist | 3430 South Fourth St, Terre Haute, IN 47802 | 2007-05-03 |
| 1144375239 | Aaron Matthew Luttrell | Dentist | 1649 S 6th St, Terre Haute, IN 47802-1608 | 2007-01-25 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47804 |
Please comment or provide details below to improve the information on DR. SHADRACH G GONQUEH.
| 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.