DENTAL PROFESSIONALS OF INDIANA, P.C. (NPI# 1497977946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497977946 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF INDIANA, P.C. |
| Other Organization Name | ANDERSON FAMILY DENTAL |
| Practice Address |
777 Broadway Suite B Anderson IN 46012 |
| Practice Telephone | 7656423124 |
| Practice Fax Number | 7656421095 |
| Mailing Telephone | 7656423124 |
| Mailing Fax Number | 7656421095 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | JENNIFER HOELSCHER (INSURANCE/CREDENTIALING) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF INDIANA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Anderson Family Dental | Doing Business As Name - Organization |
| 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 |
| 1538686555 | Dental Professionals of Indiana, P.C. | Dentist | 7103 Whitestown Pkwy, Zionsville, IN 46077-7626 | 2017-08-30 |
| 1073030979 | Dental Professionals of Indiana, P.C. | Dentist | 7103 Whitestown Parkway, Whitestown, IN 46075 | 2017-08-23 |
| 1114130432 | Dental Professionals of Indiana, P.C. | Dentist | 2362 W Blvd, Suite B, Kokomo, IN 46902 | 2007-05-07 |
| 1013139542 | Dental Professionals of Indiana, P.C. | Dentist | 2362 West Blvd, Suite A, Kokomo, IN 46902 | 2007-05-03 |
| 1376765503 | Dental Professionals of Indiana, P.C. | Dentist | 5250 Us Hwy 36, Suite 160, Avon, IN 46123 | 2007-05-03 |
| 1881816007 | Dental Professionals of Indiana, P.C. | Dentist | 103 Osceola Ave, Osceola, IN 46561 | 2007-05-03 |
| 1306058417 | Dental Professionals of Indiana, P.C. | Dentist | 1515 W 45th Ave, Griffith, IN 46319 | 2007-05-03 |
| 1881816320 | Dental Professionals of Indiana, P.C. | Dentist | 1516 Lynch Lane, Ste A, Clarksville, IN 47129 | 2007-05-03 |
| 1154543635 | Dental Professionals of Indiana, P.C. | Dentist | 8079 Madison St, Merrillville, IN 46410-5465 | 2007-05-03 |
| Street Address |
777 BROADWAY SUITE B |
| City | ANDERSON |
| State | IN |
| Zip Code | 46012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619199221 | Lifetime Dental Care of Indiana, PC | Dentist | 777 Broadway, Suite A, Anderson, IN 46012 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142358 | Conduct Curb, LLC | Behavioral Analyst | 3084 Broadway Street, Anderson, IN 46012 | 2017-09-07 |
| 1336697119 | Patricia Jones | Specialist/Technologist | 1100 East 5th Street, Anderson, IN 46012 | 2016-09-21 |
| 1558689166 | Amber Marie Rose | Physical Therapy Assistant | 100 N. 16th Street, The Waters of New Castle, New Castle, IN 46012 | 2010-05-06 |
| 1457581134 | Jennifer L Stanley | Nurse Practitioner | 2976 N Scattefield Rd, Suite 101, Anderson, IN 46012 | 2009-07-16 |
| 1427291020 | Richland Township | Ambulance | 405 East 500 North, Anderson, IN 46012 | 2009-04-13 |
| 1326231408 | Jessica R Finn | Speech-Language Pathologist | 2519 E 10th St Ste A, Anderson, IN 46012 | 2007-08-22 |
| 1699974568 | Selah House, Inc | Psychiatric Hospital | 1180 N. 300 East, Anderson, IN 46012 | 2007-07-12 |
| 1750423265 | Physicians Weight Loss Center | Clinic/Center | 2976 N Scatterfield Rd Suite 121, Anderson, IN 46012 | 2007-02-12 |
| 1235283102 | Gregory Robert Busing | Dentist | 1700 Broadway St, Anderson, IN 46012 | 2007-01-22 |
| 1669543666 | Sheri Lynne Lantz | Nurse Practitioner | 126 S Mustin Dr, Anderson, IN 46012 | 2006-11-13 |
| Find all providers in zip 46012 | ||||
| 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 |
|---|---|---|---|---|
| 1619455417 | Eh Dental, LLC | Dentist | 303 E Highland Ave Ste 105, Anderson, SC 29621-4767 | 2018-08-02 |
| 1477964112 | Dental Professionals of Sc, PC | Dentist | 3500 Clemson Blvd, Anderson, SC 29621-1313 | 2014-05-15 |
| 1427484286 | Hopewell Family Dentistry | Dentist | 3728 N. Hwy. 81, Anderson, SC 29621 | 2013-09-24 |
| 1134472699 | Beemer Dentistry, Pa | Dentist | 1512 N Fant St, Anderson, SC 29621-4708 | 2012-10-22 |
| 1235490640 | Jennifer Lynn Raymond | Dentist | 2126 Hwy 81 North, Anderson, SC 29621-1532 | 2012-06-01 |
| 1932410115 | John Michael Waters | Dentist | 512 Reed Rd, Anderson, SC 29621-2058 | 2010-06-23 |
| 1649403197 | Roscoe Sidney Eatherly | Dentist | 508 W Highway 76, Anderson, MO 64831-8548 | 2009-09-01 |
| 1255560108 | Mowlajlo Family and Cosmetic Dentistry,llc | Dentist | 205 E Highland Ave # Avw, Anderson, SC 29621-4711 | 2009-07-13 |
| 1881821064 | William Martin Reuss Iv | Dentist | 1930 North Barney St., Anderson, CA 96007 | 2009-06-16 |
| 1972739910 | Gabrielle Ferguson Cannick | Dentist | 3905 Liberty Hwy, Anderson, SC 29621-1229 | 2009-06-04 |
| Find all providers in ANDERSON | ||||
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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.