DENTAL CENTER OF PLYMOUTH LLC


Address: 1913 N Michigan St Ste E, Plymouth, IN 46563-1015
Phone: 5749364123

DENTAL CENTER OF PLYMOUTH LLC (NPI# 1336516517) 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) 1336516517
Entity Type Organization
Organization Name DENTAL CENTER OF PLYMOUTH LLC
Practice Address 1913 N Michigan St Ste E
Plymouth
IN 46563-1015
Practice Telephone 5749364123
Enumeration Date 2015-08-24
Last Update Date 2015-08-24
Authorized Official Name MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
Authorized Official Telephone 7277261611
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist IN Dental Providers

Office Location

Street Address 1913 N MICHIGAN ST STE E
City PLYMOUTH
State IN
Zip Code 46563-1015

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1487722948 Allen Edward Reese Hearing Instrument Specialist 322 N. Michigan St., Suite C, Plymouth, IN 46563 2006-12-01
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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
1760091268 Haggerty Dental Dentist 16000 N Haggerty Rd, Plymouth, MI 48170-4884 2020-07-30
1902460439 Jose Joaquin Giraud Dentist 130 Carr Rd, Plymouth, WI 53073-9500 2019-04-30
1215477088 Thomas M. Pedavoli Dds Inc. Dentist 850 Columbus Dr, Plymouth, IN 46563-1877 2017-02-27
1356887186 Katherine Marlow Bell Dentist 2805 Campus Dr Ste 245, Plymouth, MN 55441 2017-01-18
1356792097 Uvoh Erhiegueke Onoriobe Dentist 9301 Mayflower Ct, Plymouth, MI 48170-3923 2016-06-23
1003263989 Mohammed Almumaiz Dentist 45600 Joy Rd, Plymouth, MI 48170-3660 2016-05-19
1528415742 Revanth Chada Dentist 4665 Urbandale Ct N, Plymouth, MN 55446-1946 2016-05-17
1336595941 Michelle Peters Dentist 9416 S Main St Ste 211, Plymouth, MI 48170-4183 2016-05-12
1154798262 Mark Jurek Dentist 556 N Oak Dr, Plymouth, IN 46563-1664 2015-08-24
1619369279 Hooman Abdolisereshki Dentist 62 S Pleasant View Rd # A, Plymouth, WI 53073-4954 2015-02-19
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City PLYMOUTH
Zip Code 46563

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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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