SULLIVAN FAMILY DENTISTRY, LLC (NPI# 1871996199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871996199 |
| Entity Type | Organization |
| Organization Name | SULLIVAN FAMILY DENTISTRY, LLC |
| Practice Address |
2186 N Hospital Blvd., Suite 1 Sullivan IN 47882-0468 |
| Mailing Address |
Po Box 468 Sullivan IN 47882-0468 |
| Practice Telephone | 8122684010 |
| Practice Fax Number | 8122685607 |
| Mailing Telephone | 8122684010 |
| Mailing Fax Number | 8122685607 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | DR. GREGG W SMITH (SENIOR PARTNER OWNER) |
| Authorized Official Telephone | 8122684010 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 12007736A | IN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2186 N HOSPITAL BLVD., SUITE 1 |
| City | SULLIVAN |
| State | IN |
| Zip Code | 47882-0468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
| 1184888000 | Mary Sherman Hospital | Hospice Care, Community Based | 817 North Section Street, Suite A, Sullivan, IN 47882 | 2008-07-10 |
| 1003838194 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 505 West Wolfe Street, Sullivan, IN 47882 | 2006-07-24 |
| 1255580593 | Daniel Choyce Callahan | Psychiatry & Neurology | 2204 N Section St, Sullivan, IN 47882 | 2008-09-11 |
| 1851394175 | Van Evanoff Jr. | Pain Medicine | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2005-05-31 |
| 1982780748 | Associated Physicians & Surgeons Clinic, LLC | Obstetrics & Gynecology | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2006-10-27 |
| 1487828455 | Kortni Reann Martindale | Speech-Language Pathologist | 368 W Indiana Ave, Sullivan, IN 47882-1117 | 2008-04-21 |
| 1831280585 | Southwest School Corporation | Local Education Agency (LEA) | 110 N Main St, Sullivan, IN 47882-1225 | 2006-09-27 |
| 1780717637 | Brian K Grindstaff | Chiropractor | 210 N Section St Unit C, Sullivan, IN 47882-1237 | 2007-03-13 |
| 1700854072 | Sullivan Surgicenter,llc | Clinic/Center | 320 N Section St, Sullivan, IN 47882-1239 | 2006-03-10 |
| Find all providers in zip 47882 | ||||
| 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 |
|---|---|---|---|---|
| 1912436635 | Jessica Mae Ellsperman | Dentist | 2186 N Hospital Blvd # 1, Sullivan, IN 47882-7654 | 2017-06-06 |
| 1619007127 | Scantlan & Rowbottom, D.d.s., P.C. | Dentist | 675 Dunsford Dr, Sullivan, MO 63080-1267 | 2007-03-06 |
| 1891857447 | William Earl Alwerdt | Dentist | 110 N Hamilton St, Sullivan, IL 61951-1405 | 2006-12-13 |
| 1073591277 | Gregg W. Smith | Dentist | 2186 N Hospital Blvd Ste 1, Sullivan, IN 47882-7654 | 2006-01-06 |
| 1518228485 | Midwest Dental Jeff Moos Dds PC | Dentist | 300 Walmart Dr, Sullivan, MO 63080-3333 | 2012-06-06 |
| 1275700817 | Sullivan Dental Partnership, LLC | Dentist | 300 Walmart Dr, Sullivan, MO 63080-3333 | 2008-05-13 |
| 1194945246 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 413 Walmart Dr, Sullivan, MO 63080-3327 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912121 | Danville Downtown Dentistry LLC | Dentist | 94 S Tennessee St, Danville, IN 46122-1836 | 2020-11-05 |
| 1558968024 | Connor Michael Kirtley | Dentist | 325 N Walnut St Ste A, Seymour, IN 47274-2113 | 2020-10-07 |
| 1467067819 | Hewlett Zaremba LLC | Dentist | 309 N Bittersweet Rd # 105, Mishawaka, IN 46544-4220 | 2020-09-12 |
| 1679186258 | James Patrick Thompson | Dentist | 5909 Wheelock Rd Ste 102, Fort Wayne, IN 46835-9258 | 2020-08-25 |
| 1770194698 | Dental Professionals of In, P.C. | Dentist | 8570 Northwest Blvd, Indianapolis, IN 46278-1383 | 2020-08-13 |
| 1407466055 | Marcus Bigot | Dentist | 13590b N Meridian St Ste 101, Carmel, IN 46032-1409 | 2020-08-07 |
| 1639788219 | Karima N Lubbadeh | Dentist | 12574 Promise Creek Ln Ste 110, Fishers, IN 46038-7713 | 2020-07-29 |
| 1689282196 | Eric Gerald Hollensbe | Dentist | 3415 S Lafountain St Ste I, Kokomo, IN 46902-3826 | 2020-07-21 |
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1578181194 | Trisha Johnson Cahill | Dentist | 1202 W Buena Vista Rd Ste 206, Evansville, IN 47710-5134 | 2020-07-09 |
| 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.