DENTAL PROFESSIONALS OF INDIANA, P.C. (NPI# 1306058417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306058417 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF INDIANA, P.C. |
| Other Organization Name | PARKSIDE DENTAL CARE |
| Practice Address |
1515 W 45th Ave Griffith IN 46319 |
| Practice Telephone | 2199229007 |
| Practice Fax Number | 2199223890 |
| Mailing Telephone | 2199229007 |
| Mailing Fax Number | 2199223890 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | JENNIFER HOELSCHER (INSURANCE/CREDENTIALING) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF INDIANA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Parkside Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027609 | Dental Professionals of Indiana, P.C. | Dentist | 415 Waterfall Dr Ste A, Elkhart, IN 46516-3660 | 2020-03-11 |
| 1538686555 | Dental Professionals of Indiana, P.C. | Dentist | 7103 Whitestown Pkwy, Zionsville, IN 46077-7626 | 2017-08-30 |
| 1073030979 | Dental Professionals of Indiana, P.C. | Dentist | 7103 Whitestown Parkway, Whitestown, IN 46075 | 2017-08-23 |
| 1114130432 | Dental Professionals of Indiana, P.C. | Dentist | 2362 W Blvd, Suite B, Kokomo, IN 46902 | 2007-05-07 |
| 1013139542 | Dental Professionals of Indiana, P.C. | Dentist | 2362 West Blvd, Suite A, Kokomo, IN 46902 | 2007-05-03 |
| 1376765503 | Dental Professionals of Indiana, P.C. | Dentist | 5250 Us Hwy 36, Suite 160, Avon, IN 46123 | 2007-05-03 |
| 1881816007 | Dental Professionals of Indiana, P.C. | Dentist | 103 Osceola Ave, Osceola, IN 46561 | 2007-05-03 |
| 1881816320 | Dental Professionals of Indiana, P.C. | Dentist | 1516 Lynch Lane, Ste A, Clarksville, IN 47129 | 2007-05-03 |
| 1154543635 | Dental Professionals of Indiana, P.C. | Dentist | 8079 Madison St, Merrillville, IN 46410-5465 | 2007-05-03 |
| 1407068596 | Dental Professionals of Indiana, P.C. | Dentist | 601 Library Park, Suite B-1, Greenwood, IN 46142 | 2007-05-03 |
| Street Address |
1515 W 45TH AVE |
| City | GRIFFITH |
| State | IN |
| Zip Code | 46319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680095 | Hirut Manmektot Kassa | Dentist | 1515 W 45th Ave, Griffith, IN 46319-3801 | 2020-08-18 |
| 1902245491 | Kavita Nana | Dentist | 1515 W 45th Ave, Griffith, IN 46319-3801 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407246 | Nirmaldeep Singh Brar Dmd LLC | Dentist | 844 N Cline Ave Ste 2n, Griffith, IN 46319 | 2018-05-14 |
| 1467976472 | Grifflands Optical | Eyewear Supplier (Equipment, not the service) | 1951 West Glen Park Ave, Griffith, IN 46319 | 2017-08-01 |
| 1861760241 | Comfort Zone Counseling, LLC | Community/Behavioral Health | 597 N. Colfax St., Griffith, IN 46319 | 2011-12-13 |
| 1285847178 | Susan M Bowen | Speech-Language Pathologist | 607 Oriole Ave, Griffith, IN 46319 | 2007-05-07 |
| 1568568855 | Timothy E Colby | Dentist | 1939 W 45th St, Griffith, IN 46319 | 2006-09-15 |
| 1477657419 | Veronica M. Camarillo | Optometrist | 1951 W Glen Park Ave, Griffith, IN 46319 | 2006-09-11 |
| 1114948437 | Hook-superx, L.L.C. | Pharmacy | 1195 E Ridge Rd, Griffith, IN 46319 | 2006-07-21 |
| 1942738992 | Rikin R Patel | Dentist | 1555 N Cline Ave, Griffith, IN 46319 | 2017-06-02 |
| 1376585687 | Mohamed Monzer Krad | Family Medicine | 315 W 35th Ave, Griffith, IN 46319-1003 | 2006-06-12 |
| 1649770231 | Lori P Turner | Nurse Practitioner | 315 W 35th Ave, Griffith, IN 46319-1003 | 2018-02-20 |
| Find all providers in zip 46319 | ||||
| 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 |
|---|---|---|---|---|
| 1013407246 | Nirmaldeep Singh Brar Dmd LLC | Dentist | 844 N Cline Ave Ste 2n, Griffith, IN 46319 | 2018-05-14 |
| 1831353259 | Colby Dental, Dds | Dentist | 1939 W 45th Ave, Griffith, IN 46319-3703 | 2008-07-15 |
| 1982791497 | The Art of Dentistry PC | Dentist | 1555 N Cline Ave, Griffith, IN 46319-1567 | 2006-10-06 |
| 1376637298 | Christopher W. Gall | Dentist | 909 E Glen Park Ave, Griffith, IN 46319-2434 | 2006-10-03 |
| 1982615761 | Rosanne Garza | Dentist | 844 N Cline Ave, Griffith, IN 46319-1504 | 2006-08-10 |
| 1942738992 | Rikin R Patel | Dentist | 1555 N Cline Ave, Griffith, IN 46319 | 2017-06-02 |
| 1184152837 | Megan Michele Keel | Dentist | 1555 N Cline Ave, Griffith, IN 46319-1567 | 2017-05-25 |
| 1457573669 | R. Jason Schnepf Dds | Dentist | 423 N Broad St, Griffith, IN 46319-2223 | 2007-05-03 |
| 1184711624 | Faye Marie Kostidis | Dentist | 1555 N Cline Ave, Griffith, IN 46319-1567 | 2006-10-06 |
| 1710074240 | Herb Joseph Yekel | Dentist | 1555 N Cline Ave, Griffith, IN 46319-1567 | 2006-10-06 |
| Find all providers in GRIFFITH | ||||
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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.