DENTAL PROFESSIONALS OF INDIANA, PC (NPI# 1518418680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518418680 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF INDIANA, PC |
| Other Organization Name | REGAL VALLEY DENTAL CARE |
| Practice Address |
2000 Veterans Memorial Parkway S Lafayette IN 47909 |
| Practice Telephone | 7657466166 |
| Practice Fax Number | 7657466935 |
| Mailing Telephone | 7657466166 |
| Mailing Fax Number | 7657466935 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 2178217249 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF INDIANA, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Regal Valley Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255702478 | Dental Professionals of Indiana, PC | Dentist | 2455 E. Main St., Suite 104, Plainfield, IN 46168 | 2015-10-14 |
| 1215306790 | Dental Professionals of Indiana, PC | Dentist | 1828 E State Road 44, Suite 300, Shelbyville, IN 46176-1814 | 2015-09-15 |
| Street Address |
2000 VETERANS MEMORIAL PARKWAY S |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285135244 | Glasswater Creek of Lafayette, LLC | Assisted Living Facility | 208 Beck Ln, Lafayette, IN 47909 | 2018-02-26 |
| 1013394709 | Todd Hardin | Dentist | 2 Walter Scholer Drive, Lafayette, IN 47909 | 2015-05-01 |
| 1801296967 | Lacey Hintz | Occupational Therapy Assistant | 2308 Edgelea Dr, Lafayette, IN 47909 | 2014-08-26 |
| 1457691180 | Alicia A Duncan | Lactation Consultant, Non-RN | 207 Buckingham Drive, Lafayette, IN 47909 | 2013-02-16 |
| 1558646505 | Tammie Anne Shockley | Pharmacist | 2800 Old Us 231 S, Walgreens 10974, Lafayette, IN 47909 | 2011-10-20 |
| 1952553448 | Regina R Pilotte | Occupational Therapist | 3864 East 500 South, Lafayette, IN 47909 | 2008-10-16 |
| 1811182405 | Assisted Living Concepts Inc | Assisted Living Facility | 167 West 240 South, Lafayette, IN 47909 | 2007-09-07 |
| 1073716585 | Julia Ann Dillon | Counselor | 3554 Promenade Pkwy Ste E, Lafayette, IN 47909 | 2007-06-11 |
| 1639291503 | Winifred A. Landis | Pharmacist | 2806 Us 231 South, Lafayette, IN 47909 | 2007-04-04 |
| 1124104229 | Travis B Strickler | Optometrist | 3554 Promenade Pkwy Ste A, Lafayette, IN 47909 | 2006-10-31 |
| Find all providers in zip 47909 | ||||
| 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 |
|---|---|---|---|---|
| 1518519883 | Indian Peaks Dental PC | Dentist | 1319 W Baseline Rd Ste 200, Lafayette, CO 80026-9308 | 2019-07-16 |
| 1609430156 | Guido Family Dentistry | Dentist | 150 Professional Ct Ste B, Lafayette, IN 47905-5153 | 2019-04-30 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1053802801 | Jessica Reed Neu | Dentist | 5540 Johnston St, Lafayette, LA 70503-5138 | 2018-05-27 |
| 1285142026 | Lafayette Westend Dental LLC | Dentist | 311 Sagamore Pkwy N Ste 2, Lafayette, IN 47904-2800 | 2018-01-15 |
| 1649787649 | Erin A. Fontenot D.d.s., L.L.C. | Dentist | 1105 S College Rd Ste B, Lafayette, LA 70503-3067 | 2017-12-29 |
| 1841716602 | Bryan Patrick Villescas | Dentist | 1255 Cimarron Dr Ste 101, Lafayette, CO 80026-1282 | 2017-08-14 |
| 1457715062 | Jesus Loza Salinas | Dentist | 1345 Plaza Ct N Ste 1a, Lafayette, CO 80026-2832 | 2016-04-09 |
| 1598147712 | Kathleen Adley Darnall | Dentist | 185 S. Beadle Rd., Lafayette, LA 70508 | 2015-06-24 |
| 1881088110 | James Smith, Dds and Daniel Domingue, Dds, LLC | Dentist | 200 Beaullieu Dr Ste 2, Lafayette, LA 70508-7230 | 2015-03-25 |
| Find all providers in LAFAYETTE | ||||
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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.