DR. ABIGAIL JAYNE COLCLASURE (NPI# 1518316173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518316173 |
| Entity Type | Individual |
| Full Name | DR. ABIGAIL JAYNE COLCLASURE |
| Credential | D.M.D |
| Practice Address |
470 Bennett Dr Ste C Warren IN 46792-9273 |
| Practice Telephone | 2603752246 |
| Mailing Telephone | 2603752246 |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2016-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12012513A | IN | Dental Providers |
| Street Address |
470 BENNETT DR STE C |
| City | WARREN |
| State | IN |
| Zip Code | 46792-9273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598173056 | Whitney J. Shafer | Nurse Practitioner | 470 Bennett Dr, Warren, IN 46792 | 2014-07-29 |
| 1952614224 | Michelle Lynn Layman | Speech-Language Pathologist | 123 N Wayne St, Warren, IN 46792 | 2010-07-15 |
| 1609082775 | Vernon Winfield Byer | Pharmacist | Warren Pharmacy, 222 North Wayne St, Warren, IN 46792 | 2007-05-15 |
| 1811911969 | Robert H Berghoff | Dentist | 470 Bennett Drive, Suite C, Warren, IN 46792 | 2006-07-26 |
| 1043413016 | Charis M Daniels | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-06-07 |
| 1245433325 | Marsha J Crickard | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-06-07 |
| 1245441633 | Millie Ann Ellis | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-05-25 |
| 1275744666 | Cheryl A Campbell | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-05-25 |
| 1942411335 | Patricia Lynn Breckenridge | Pharmacy Technician | 222 N Wayne St, Warren, IN 46792 | 2007-05-25 |
| 1639320104 | Angela Lamar | Physical Therapy Assistant | 716 E Jefferson St, Warren, IN 46792-0152 | 2008-10-02 |
| Find all providers in zip 46792 | ||||
| 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 |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1053941849 | North Pond Dental Care | Dentist | 2467 Altantic Hwy, Warren, ME 04864 | 2020-01-21 |
| 1063071249 | Unique Smiles Dental | Dentist | 28315 Hoover Rd, Warren, MI 48093-4151 | 2019-06-11 |
| 1467968941 | Brighter Dental Care (warren) | Dentist | 55 Mountain Blvd Ste 205, Warren, NJ 07059-2627 | 2017-12-20 |
| 1821503269 | Tru Dental Michigan II, Pllc | Dentist | 25900 Dequindre Rd, Warren, MI 48091-6107 | 2017-12-07 |
| 1568975126 | Michele M. Tulak-gorecki | Dentist | 1905 Marlow Dr., Warren, MI 48092-2175 | 2017-11-06 |
| 1154770717 | Zachary Scott Colclasure | Dentist | 470 Bennett Dr Ste A, Warren, IN 46792-9273 | 2016-06-05 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1124409313 | Shawn Nguyen | Dentist | 27600 Hoover Rd Ste 1, Warren, MI 48093-7721 | 2015-06-12 |
| 1154718658 | Discount Dental PC | Dentist | 32520 Mound Rd, Warren, MI 48092-3870 | 2015-04-22 |
| Find all providers in WARREN | ||||
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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.