SMILE DOCTORS OF INDIANA, P.C. (NPI# 1518456557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518456557 |
| Entity Type | Organization |
| Organization Name | SMILE DOCTORS OF INDIANA, P.C. |
| Practice Address |
1410 S Quail Run Rd Vincennes IN 47591-6845 |
| Practice Telephone | 8128827867 |
| Mailing Telephone | 8128827867 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | DANA E FENDER (OWNER) |
| Authorized Official Telephone | 8128827867 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12012617A | IN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 857 S Auto Mall Rd, Bloomington, IN 474015447 | 8123331051 |
| Street Address |
1410 S QUAIL RUN RD |
| City | VINCENNES |
| State | IN |
| Zip Code | 47591-6845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688484 | Mary Alsakka | Pharmacist | 602 Kimmell Rd, Vincennes, IN 47591 | 2020-10-30 |
| 1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
| 1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
| 1821469602 | Riverside Family Clinic, Inc | Nurse Practitioner | 328 N 2nd St, Suite 102, Vincennes, IN 47591 | 2015-10-19 |
| 1902205594 | Kathleen Garner | Physical Therapy Assistant | 3901 Old Bruceville Road, Vincennes, IN 47591 | 2014-08-19 |
| 1467703645 | Molly Ann Barth | Speech-Language Pathologist | 3801 Old Bruceville Road, Vincennes, IN 47591 | 2012-09-27 |
| 1083965776 | Tiffany Renee Neukam | Occupational Therapist | 1900 College Ave., Vincennes, IN 47591 | 2012-09-21 |
| 1396057089 | Jericho Lynn Quick | Optometrist | 1813 Willow St Ste 2a, Vincennes, IN 47591 | 2010-07-09 |
| Find all providers in zip 47591 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558488668 | Joseph Randall Gregg | Dentist | 429 Perry St, Vincennes, IN 47591-2127 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970036 | Sarah Buedel | Dentist | 900 Tutor Ln Ste 103, Evansville, IN 47715-7295 | 2020-10-18 |
| 1720695828 | Candid Indiana, P.C. | Dentist | 5 Washington St Fl 3, Valparaiso, IN 46383-4768 | 2020-09-23 |
| 1992357453 | Brace Yourself Orthodontics LLC | Dentist | 16329 State Road 23, South Bend, IN 46635-1457 | 2019-07-15 |
| 1417515255 | Mark Rex Rosenthall | Dentist | 3901 N Wheeling Ave, Muncie, IN 47304-1769 | 2019-06-05 |
| 1275190183 | Evan Randall Schmidt | Dentist | 3110 Willowcreek Rd, Portage, IN 46368-4424 | 2019-05-27 |
| 1508325879 | Rlm Orthodontics LLC | Dentist | 298 S 10th St Ste 100, Noblesville, IN 46060-2741 | 2019-03-17 |
| 1699234955 | Stonegate Orthodontics LLC | Dentist | 6857 W Stonegate Dr Ste B, Zionsville, IN 46077-8023 | 2019-03-17 |
| 1467917278 | Michael J Hacken | Dentist | 51565 Bittersweet Rd, Granger, IN 46530-8859 | 2019-02-06 |
| 1992290746 | Bbb of In, LLC | Dentist | 905 S College Mall Rd, Bloomington, IN 47401-6302 | 2018-06-25 |
| 1508376708 | Glander Rochford Orthodontics, LLC | Dentist | 8445 S Emerson Ave Ste 102, Indianapolis, IN 46237-9597 | 2017-10-03 |
| Find all providers with the same taxonomy | ||||
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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.