CORE DENTAL CARE (NPI# 1427613074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427613074 |
| Entity Type | Organization |
| Organization Name | CORE DENTAL CARE |
| Practice Address |
2444 Getz Rd Fort Wayne IN 46804-1632 |
| Practice Telephone | 2694444715 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | DR. DOREEN AGYEMAN (DENTIST) |
| Authorized Official Telephone | 5027777547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518495845 | Core Dental Care | Dentist | 2700 Grand Ave Ste C, Billings, MT 59102-2682 | 2017-05-31 |
| Street Address |
2444 GETZ RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467726851 | Gentle Care Family Dentistry | Dentist | 2444 Getz Rd, Fort Wayne, IN 46804-1632 | 2012-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710548326 | Lima Road Dentistry | Clinic/Center | 9019 Lima Rd, Fort Wayne, IN 46818-1801 | 2019-06-25 |
| 1114418654 | Bolinger Dental L.L.C. | Clinic/Center | 5800 Fairfield Ave., Suite 220, Fort Wayne, IN 46807-3417 | 2018-05-21 |
| 1467661041 | Stanley A. Young D.d.s. P.C. | Clinic/Center | 6038 E State Blvd, Fort Wayne, IN 46815-7639 | 2007-05-21 |
| 1255849667 | Georgetown North Dental Care LLC | Clinic/Center | 6405 Georgetown North Blvd, Fort Wayne, IN 46815-7007 | 2018-01-19 |
| 1225549363 | Tlc Dental LLC | Clinic/Center | 7908 Carnegie Blvd, Fort Wayne, IN 46804-5781 | 2017-10-16 |
| 1083080386 | Summit City Smiles | Clinic/Center | 1330 E State Blvd, Fort Wayne, IN 46805-4422 | 2015-08-20 |
| 1639566110 | Neighborhood Health Clinics, Inc. | Clinic/Center | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2015-04-22 |
| 1366879256 | Mary Ellen Argus, Dds, PC | Clinic/Center | 2801 Maplecrest Rd, Fort Wayne, IN 46815-7015 | 2013-10-09 |
| 1326399130 | Brad Pulfer D.d.s., P.C. | Clinic/Center | 1405 Medical Park Dr, Fort Wayne, IN 46825-5878 | 2012-09-20 |
| 1891883633 | Bradford H Korn Dds, Inc. | Clinic/Center | 4656 W Jefferson Blvd, Suite 220, Fort Wayne, IN 46804-6857 | 2006-10-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on CORE DENTAL CARE.
| 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.