THE DENTAL CENTER OF MISHAWAKA PC (NPI# 1295940518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295940518 |
| Entity Type | Organization |
| Organization Name | THE DENTAL CENTER OF MISHAWAKA PC |
| Practice Address |
112 Ironworks Ave Mishawaka IN 46544-2057 |
| Practice Telephone | 5742554964 |
| Mailing Telephone | 5742554964 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-06-11 |
| Authorized Official Name | MRS. REBECCA M NUKES (BUSINESS MANAGER) |
| Authorized Official Telephone | 5742457503 |
| Authorized Official Credential | CREDENTIALING MG |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12008118 | IN | Dental Providers |
| Street Address |
112 IRONWORKS AVE |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| 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 |
|---|---|---|---|---|
| 1467067819 | Hewlett Zaremba LLC | Dentist | 309 N Bittersweet Rd # 105, Mishawaka, IN 46544-4220 | 2020-09-12 |
| 1306339072 | Mushira Ali | Dentist | 112 Ironworks Ave Ste B1, Mishawaka, IN 46544-2057 | 2018-06-07 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1225417017 | James M. Burkart Family Dentistry | Dentist | 13432 Mckinley Hwy, Mishawaka, IN 46545-7447 | 2015-05-26 |
| 1386980134 | Ann Tawadros | Dentist | 544 Lincolnway W, Mishawaka, IN 46544-1844 | 2012-12-26 |
| 1194052183 | Jeffrey S. Feltzer, Dmd, P.C. | Dentist | 518 Lincolnway W, Mishawaka, IN 46544-1807 | 2009-11-11 |
| 1356586382 | Adoni Dental PC | Dentist | 4170 Grape Rd, Mishawaka, IN 46545-2610 | 2008-12-04 |
| 1730333097 | Matthew Steele Brennan | Dentist | 330 Park Pl, Mishawaka, IN 46545-3555 | 2008-11-12 |
| 1902017593 | South Bend Smiles Youth Dentistry, LLC | Dentist | 2332 Miracle Ln, Mishawaka, IN 46545-3012 | 2007-05-24 |
| 1922218858 | Terry L Cunningham | Dentist | 1902 N Main St, Mishawaka, IN 46545-5614 | 2007-05-22 |
| Find all providers in MISHAWAKA | ||||
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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.