RICHMOND ORAL SURGERY ASSOCIATES ACQUISITION, LLC (NPI# 1356637557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356637557 |
| Entity Type | Organization |
| Organization Name | RICHMOND ORAL SURGERY ASSOCIATES ACQUISITION, LLC |
| Practice Address |
888 Sim Hodgin Pkwy Suite C Richmond IN 47374-1936 |
| Practice Telephone | 7659667537 |
| Practice Fax Number | 7659660370 |
| Mailing Telephone | 7659667537 |
| Mailing Fax Number | 7659660370 |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2011-06-26 |
| Authorized Official Name | DR. HARRY PAPADOPOULOS (ORAL SURGEON) |
| Authorized Official Telephone | 7659667537 |
| Authorized Official Credential | DDS, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12010966A | IN | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | RICHMOND ORAL SURGERY ASSOCIATES ACQUISITION, LLC | 888 Sim Hodgin Parkway, Richmond, IN 47374 |
| Street Address |
888 SIM HODGIN PKWY SUITE C |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639872 | John Paul Backmeyer | Dentist | 888 Sim Hodgin Pkwy, Richmond, IN 47374-1931 | 2005-06-20 |
| 1497935977 | Brent Swinney | Dentist | 888 Sim Hodgin Pkwy, Richmond, IN 47374-1936 | 2007-11-13 |
| 1255411542 | Richmond Oral Surgery Associates, Inc. | Dentist | 888 Sim Hodgin Pkwy, Richmond, IN 47374-1936 | 2006-10-17 |
| 1306837182 | Harry Papadopoulos | Dentist | 888 Sim Hodgin Pkwy, Suite C, Richmond, IN 47374-1936 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053971861 | Jennifer Rose Van Hook | Dentist | Vcuhs Dept of Omfs Residency, 980566, 1250 E. Marshall Street, Richmond, VA 23298-0566 | 2019-06-14 |
| 1235628991 | Michael Jonathan Theiss | Dentist | 1250 E Marshall St # 980566, Richmond, VA 23298-5051 | 2018-05-08 |
| 1427460799 | Charles Douglas Boxx | Dentist | 8503 Patterson Ave Ste B, Richmond, VA 23229-6442 | 2014-05-21 |
| 1912929753 | James Ellsworth Hornaday | Dentist | 1004 Oak Dr, Richmond, IN 47374-1916 | 2006-07-24 |
| 1811919467 | Jonathan Eric Carlton | Dentist | 8917 Fargo Road, Suite C, Richmond, VA 23229 | 2006-07-24 |
| 1457379307 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Dentist | 4097 Atwood Drive, Richmond, KY 40475-2454 | 2006-07-18 |
| 1366492415 | Charles L Cuttino | Dentist | 8503 Patterson Ave, Richmond, VA 23229-6442 | 2006-05-11 |
| 1114988029 | Monroe E Harris Jr. | Dentist | 5224 Monument Ave, Richmond, VA 23226-1405 | 2006-03-30 |
| 1538120431 | William D. Dymon | Dentist | 7702 E Parham Rd Ste 103, Richmond, VA 23294 | 2006-03-30 |
| 1588656128 | John Robert Hall | Dentist | 1004 Oak Drive, Richmond, IN 47374 | 2005-08-19 |
| Find all providers in RICHMOND | ||||
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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.