LIFETIME DENTAL CARE OF INDIANA, PC


Address: 777 Broadway, Suite A, Anderson, IN 46012
Phone: 7656417930

LIFETIME DENTAL CARE OF INDIANA, PC (NPI# 1619199221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619199221
Entity Type Organization
Organization Name LIFETIME DENTAL CARE OF INDIANA, PC
Other Organization Name COMPLETE FAMILY DENTAL CARE
Practice Address 777 Broadway
Suite A
Anderson
IN 46012
Practice Telephone 7656417930
Practice Fax Number 7656417957
Mailing Telephone 7656417930
Mailing Fax Number 7656417957
Enumeration Date 2007-05-03
Last Update Date 2020-08-22
Authorized Official Name AMY KROEGER (INS COOD)
Authorized Official Telephone 2175405100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Complete Family Dental Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699987545 Lifetime Dental Care of Indiana, PC Dentist 11681 Brooks School Road, Suite 2, Fishers, IN 46038 2007-05-04
1831311307 Lifetime Dental Care of Indiana, PC Dentist 11683 Fox Road, Indianapolis, IN 46236 2007-05-03
1215159876 Lifetime Dental Care of Indiana, PC Dentist 334 West Us 30, Suite G, Valparaiso, IN 46385 2007-05-03
1295957843 Lifetime Dental Care of Indiana, PC Dentist 5855 Madison Ave, Suite H, Indianapolis, IN 46227 2007-05-03
1043432412 Lifetime Dental Care of Indiana, PC Dentist 14160 Mundy Drive, Suite 1200, Noblesville, IN 46060 2007-05-03
1669694287 Lifetime Dental Care of Indiana, PC Dentist 168 East New Road, Greenfield, IN 46140 2007-05-03
1093937682 Lifetime Dental Care of Indiana, PC Dentist 8190 Windfall Lane, Suite B, Camby, IN 46113 2007-05-03
1538381991 Lifetime Dental Care of Indiana, PC Dentist 2017 South Western Ave, Marion, IN 46953 2007-05-03
1053523159 Lifetime Dental Care of Indiana, PC Dentist 3915 South Madison Ave, Suite 2, Indianapolis, IN 46227 2007-05-03
1578785036 Lifetime Dental Care of Indiana, PC Dentist 457 South Landmark Ave, Bloomington, IN 47403 2007-05-03

Office Location

Street Address 777 BROADWAY
SUITE A
City ANDERSON
State IN
Zip Code 46012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497977946 Dental Professionals of Indiana, P.C. Dentist 777 Broadway, Suite B, Anderson, IN 46012 2007-05-03

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City ANDERSON
Zip Code 46012

Improve Information

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Dataset Information

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.

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