DR. PHILIP PAUL HULECKI (NPI# 1659581007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659581007 |
| Entity Type | Individual |
| Full Name | DR. PHILIP PAUL HULECKI |
| Credential | DDS |
| Practice Address |
3608 Pleasant St South Bend IN 46615-2033 |
| Practice Telephone | 5742875968 |
| Mailing Telephone | 5742875968 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12007349 | IN | Dental Providers |
| Street Address |
3608 PLEASANT ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861874869 | Developmental Neuropsychological Services, P.C. | Psychologist | 3608 Pleasant St, South Bend, IN 46615-2033 | 2015-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| 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 |
|---|---|---|---|---|
| 1871116673 | Chelsea Ann Myers | Dentist | 206 W Ireland Rd, South Bend, IN 46614-2506 | 2020-05-27 |
| 1437644549 | Modupe Mary Ogunnusi Sofuye | Dentist | 1290 E Ireland Rd, South Bend, IN 46614-3474 | 2018-06-30 |
| 1508020066 | Gerald Warrell | Dentist | 2314 Miami St, South Bend, IN 46614-1336 | 2008-07-14 |
| 1619144672 | James Alvin Douglas | Dentist | 820 E Colfax Ave, South Bend, IN 46617-2804 | 2008-05-09 |
| 1962670208 | Paul Michael Mcleod | Dentist | 919 E Jefferson Blvd Ste Ll02, South Bend, IN 46617-3119 | 2008-02-20 |
| 1447428248 | Daniel Frederick Lindborg | Dentist | 52303 Emmons Road, Suite 17, South Bend, IN 46637-4294 | 2008-02-14 |
| 1275701369 | Geoffrey A. Klopenstine Dds PC | Dentist | 51584 Us Highway 33, South Bend, IN 46637-1704 | 2008-02-12 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1780704247 | Douglas John Kosek | Dentist | 413 W Jefferson Blvd, South Bend, IN 46601-1514 | 2007-03-29 |
| 1578695086 | Charles Wesley Magnuson | Dentist | 1331 Chimes Blvd, South Bend, IN 46615-3549 | 2007-03-10 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
Please comment or provide details below to improve the information on DR. PHILIP PAUL HULECKI.
| 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.