VDP WABASH LLC (NPI# 1588289169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588289169 |
| Entity Type | Organization |
| Organization Name | VDP WABASH LLC |
| Practice Address |
278 Manchester Ave. 278 Manchester Ave. Wabash IN 46992 |
| Practice Telephone | 2605634065 |
| Practice Fax Number | 2605634193 |
| Mailing Telephone | 2605634065 |
| Mailing Fax Number | 2605634193 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | MR. BRADLEY DANIEL HUGHES (DENTIST/ OWNER OF BUSINESS) |
| Authorized Official Telephone | 2605634065 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | VDP WABASH LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Brush Dental | Former Legal Business Name - Organization |
| Street Address |
278 MANCHESTER AVE. 278 MANCHESTER AVE. |
| City | WABASH |
| State | IN |
| Zip Code | 46992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639793870 | Bryan Schmidt | Dentist | 1639 North Cass St, Wabash, IN 46992 | 2020-06-03 |
| 1295279321 | Neil Bever | Chiropractor | 60 West Hill Street, Wabash, IN 46992 | 2016-12-08 |
| 1215393566 | Joshua Ruiz | Counselor | 225 N. Miami Street, Wabash, IN 46992 | 2015-12-31 |
| 1144564626 | Witham Memorial Hospital | Skilled Nursing Facility | 20 John Kissinger Dr, Wabash, IN 46992 | 2012-11-21 |
| 1699041277 | Matthew Richard Riggle | Counselor | 5233 South 50 East, White's Residential and Family Services, Wabash, IN 46992 | 2012-03-28 |
| 1447543541 | Nathan Steven Holley | Chiropractor | 508 North Wabash Street, Wabash, IN 46992 | 2011-05-23 |
| 1700958360 | Robert Mattern Dds | Dentist | 999 Manchester Ave, Wabash, IN 46992 | 2006-11-15 |
| 1154416709 | Tim J Mcvicker | Counselor | 255 N. Miami St., Wabash, IN 46992 | 2006-10-03 |
| 1841395571 | David Lee Frischman | Chiropractor | 508 N Wabash St, Wabash, IN 46992 | 2006-09-14 |
| 1770686842 | City of Wabash | Ambulance | 202 S Wabash St, Wabash, IN 46992 | 2006-09-06 |
| Find all providers in zip 46992 | ||||
| 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 |
|---|---|---|---|---|
| 1134496060 | Ladd Dental Group of Wabash, P.C. | Dentist | 1639 N Cass St, Wabash, IN 46992-1000 | 2011-11-21 |
| 1447479613 | Bing Martin Fowler | Dentist | 1911 S Wabash St, Wabash, IN 46992-4122 | 2007-04-25 |
| 1093863276 | Marvin Gene Wright | Dentist | 948 Manchester Ave, Wabash, IN 46992-1640 | 2007-01-06 |
| 1700958360 | Robert Mattern Dds | Dentist | 999 Manchester Ave, Wabash, IN 46992 | 2006-11-15 |
| 1962508051 | Mary Anne Bain | Dentist | 278 Manchester Ave, Wabash, IN 46992-1808 | 2006-09-15 |
| 1649287822 | Joe Ed Richter | Dentist | 832 Manchester Ave, Wabash, IN 46992-1422 | 2006-08-01 |
| 1538105408 | Robert B. Beckett, Jr., D.d.s., P.C. | Dentist | 1146 N Cass St, Suite C, Wabash, IN 46992-1081 | 2006-06-21 |
| 1265470058 | Tom Douglas Fuller | Dentist | 760 Alber St, Wabash, IN 46992-1609 | 2006-06-03 |
| 1356829758 | Lauren Keiko Griebenow | Dentist | 1639 N Cass St, Wabash, IN 46992 | 2018-07-30 |
| 1316176803 | Wabash Dental Services LLC | Dentist | 278 Manchester Ave, Wabash, IN 46992-1808 | 2009-07-07 |
| Find all providers in WABASH | ||||
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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.