KOOL SMILES IN-3, PC (NPI# 1447559166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447559166 |
| Entity Type | Organization |
| Organization Name | KOOL SMILES IN-3, PC |
| Other Organization Name | PIPPIN DENTAL |
| Practice Address |
3701 S Main St Ste A150 Elkhart IN 46517-3140 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 6789045665 |
| Practice Fax Number | 6789045666 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | DR. DAVID VIETH (PRESIDENT) |
| Authorized Official Telephone | 7709165036 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kool Smiles | Doing Business As Name - Organization |
| Pippin Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780983726 | Kool Smiles In-3, PC | Dentist | 4315 Commerce Dr, Suite 310, Lafayette, IN 47905-3822 | 2011-03-16 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1831284439 | Kool Smiles In-3, PC | Dentist | 400 E. Diamond Ave., Evansville, IN 47711-3713 | 2006-10-03 |
| 1699074633 | Kool Smiles In-3, PC | Dentist | 1313 W Chicago Ave, East Chicago, IN 46312-3316 | 2011-03-16 |
| 1750606059 | Kool Smiles In-3, PC | Dentist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2010-03-30 |
| 1811190234 | Kool Smiles In-3, PC | Dentist | 8327 Indianapolis Blvd, Highland Bra, IN 46322-1065 | 2007-06-06 |
| Street Address |
3701 S MAIN ST STE A150 |
| City | ELKHART |
| State | IN |
| Zip Code | 46517-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982165981 | Ambrose Isikhuemen Obhade | Dentist | 3701 S Main St Ste A150, Elkhart, IN 46517-3140 | 2019-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457743585 | Raymond Kraucunas | Pharmacist | 102 E Hively Ave., Elkhart, IN 46517 | 2015-02-26 |
| 1972834828 | Tyler Thomas Hawkins | Physical Therapy Assistant | 3965 Doral Ln., Elkhart, IN 46517 | 2010-01-15 |
| 1407008394 | Emily Anne Stults | Nurse Practitioner | 505 South Third St, Ste 160, Elkhart, IN 46517 | 2008-10-22 |
| 1902922453 | Assisted Living Concepts Inc | Assisted Living Facility | 27833 County Road 24, Elkhart, IN 46517 | 2007-03-22 |
| 1023145984 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-02-27 |
| 1639178650 | Bethany L. Mcdaniel-vanderzwaag | Family Medicine | 3421 S Main St, Elkhart, IN 46517 | 2005-07-20 |
| 1770586737 | Timothy Alan Quist | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2005-05-24 |
| 1649516469 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2600 Morehouse Ave, Elkhart, IN 46517 | 2012-12-26 |
| 1538340716 | Timothy A Quist Dpm, PC | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2007-11-16 |
| 1598889776 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-03-16 |
| Find all providers in zip 46517 | ||||
| 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 |
|---|---|---|---|---|
| 1861027609 | Dental Professionals of Indiana, P.C. | Dentist | 415 Waterfall Dr Ste A, Elkhart, IN 46516-3660 | 2020-03-11 |
| 1811551211 | Heart City Health Center, Inc. | Dentist | 2100 Superior St, Elkhart, IN 46516-4704 | 2019-05-01 |
| 1386139541 | Amanda Elling | Dentist | 313 W Parker St Ste A, Elkhart, TX 75839-7612 | 2018-06-28 |
| 1407219017 | Elkhart Dental LLC | Dentist | 509 S. Cosmos, Elkhart, KS 67950 | 2016-03-31 |
| 1669766945 | Emily Marie Stout | Dentist | 805 Waterbury Park Dr, Elkhart, IN 46517-2390 | 2011-06-05 |
| 1053648055 | Hewitt Dental Group of Elkhart, Ltd. | Dentist | 319 W Lusher Ave, Elkhart, IN 46517-1866 | 2009-11-11 |
| 1508077595 | Comprehensive Dental Care PC | Dentist | 3820 E Bristol St, Elkhart, IN 46514 | 2007-05-24 |
| 1558493528 | John Richard Stewart | Dentist | 3700 E Mishawaka Rd Ste 1, Elkhart, IN 46517-3550 | 2007-03-12 |
| 1134263114 | Randy A Stauffer | Dentist | 920 E Mishawaka Rd, Elkhart, IN 46517-3226 | 2007-02-16 |
| 1528106432 | Mark Corn | Dentist | 902 County Road 6 E, Elkhart, IN 46514-5571 | 2007-02-02 |
| Find all providers in ELKHART | ||||
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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.