KOOL SMILES IN-3, PC (NPI# 1780983726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780983726 |
| Entity Type | Organization |
| Organization Name | KOOL SMILES IN-3, PC |
| Other Organization Name | PIPPIN DENTAL |
| Practice Address |
4315 Commerce Dr Suite 310 Lafayette IN 47905-3822 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 6789045665 |
| Practice Fax Number | 6789045666 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | DR. DAVID VIETH (PRESIDENT) |
| Authorized Official Telephone | 7709165036 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kool Smiles | Doing Business As Name - Organization |
| Pippin Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447559166 | Kool Smiles In-3, PC | Dentist | 3701 S Main St Ste A150, Elkhart, IN 46517-3140 | 2011-03-21 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1831284439 | Kool Smiles In-3, PC | Dentist | 400 E. Diamond Ave., Evansville, IN 47711-3713 | 2006-10-03 |
| 1699074633 | Kool Smiles In-3, PC | Dentist | 1313 W Chicago Ave, East Chicago, IN 46312-3316 | 2011-03-16 |
| 1750606059 | Kool Smiles In-3, PC | Dentist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2010-03-30 |
| 1811190234 | Kool Smiles In-3, PC | Dentist | 8327 Indianapolis Blvd, Highland Bra, IN 46322-1065 | 2007-06-06 |
| Street Address |
4315 COMMERCE DR SUITE 310 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396125944 | Andrew Raber | Dentist | 4315 Commerce Dr, Lafayette, IN 47905-3822 | 2015-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| 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 |
| 1518418680 | Dental Professionals of Indiana, PC | Dentist | 2000 Veterans Memorial Parkway S, Lafayette, IN 47909 | 2016-10-24 |
| 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 |
| 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.