PREMIER DENTAL GROUP PC (NPI# 1497862825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497862825 |
| Entity Type | Organization |
| Organization Name | PREMIER DENTAL GROUP PC |
| Practice Address |
7891 Broadway Ste C Merrillville IN 46410 |
| Practice Telephone | 2197362273 |
| Practice Fax Number | 2197695233 |
| Mailing Telephone | 2197362273 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-09-22 |
| Authorized Official Name | DR. STEVEN D COPPES (PRESIDENT) |
| Authorized Official Telephone | 2197362273 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
7891 BROADWAY STE C |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851727002 | Thomas W Surber | Dentist | 7891 Broadway, Suite F, Merrillville, IN 46410-5556 | 2013-09-19 |
| 1578999728 | Randall A Schmidt | Dentist | 7891 Broadway, Suite F, Merrillville, IN 46410-5556 | 2013-09-19 |
| 1770833451 | Innovative Company | Durable Medical Equipment & Medical Supplies | 7891 Broadway, Suite G, Merrillville, IN 46410-5556 | 2012-09-11 |
| 1598026270 | Olubunmi Adekugbe | Dentist | 7891 Broadway, Merrillville, IN 46410-5556 | 2012-05-30 |
| 1083834824 | Orthodontic Affiliates PC | Dentist | 7891 Broadway, Suite F, Merrillville, IN 46410-5556 | 2007-04-26 |
| 1275622771 | Sleep Center of Northwest Indiana, LLC | Clinic/Center | 7891 Broadway, Suite G, Merrillville, IN 46410-5556 | 2006-10-12 |
| 1649387085 | Anthony A Brucci | Dentist | 7891 Broadway, Ste C, Merrillville, IN 46410 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528615762 | Jelisaveta Labovic | Dentist | 5129 E Lincoln Hwy, Merrillville, IN 46410-5914 | 2019-08-22 |
| 1144746314 | Dental Services of Indiana, P.C. | Dentist | 532 East 81st Avenue, Merrillville, IN 46410 | 2017-08-18 |
| 1922528405 | Lauren Nicole Carlson | Dentist | 7863 Broadway Ste 111, Merrillville, IN 46410-5530 | 2017-06-26 |
| 1023469210 | Christine Mousa | Dentist | 6075 Cleveland Cir, Merrillville, IN 46410-2378 | 2016-06-29 |
| 1295101160 | Khalid Sajjad | Dentist | 757 E 81st Ave, Merrillville, IN 46410-5538 | 2015-08-14 |
| 1396169884 | Affordable Dentures-merrillville P.C. | Dentist | 1613 E 80th Ave, Merrillville, IN 46410-5737 | 2014-02-05 |
| 1477853778 | United Dental Centers | Dentist | 5655 Harrison St, Merrillville, IN 46410-2071 | 2010-11-02 |
| 1790988418 | A & A Dental Center | Dentist | 7880 Broadway, Suite A, Merrillville, IN 46410-5566 | 2007-06-08 |
| 1578683892 | Manoj K Bahl | Dentist | 40 West 73rd Ave, Merrillville, IL 46410 | 2007-03-30 |
| 1548380215 | Nikki Wargo Dds Inc | Dentist | 1452 E 85th Ave, Merrillville, IN 46410-8905 | 2007-03-29 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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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.