DR. MARK ROBERT DETERT (NPI# 1912021585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912021585 |
| Entity Type | Individual |
| Full Name | DR. MARK ROBERT DETERT |
| Credential | DDS |
| Practice Address |
919 South State Road 2 Hebron IN 46341-9539 |
| Practice Telephone | 2199964171 |
| Mailing Telephone | 2199964171 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7849 | IN | Dental Providers |
| Street Address |
919 SOUTH STATE ROAD 2 |
| City | HEBRON |
| State | IN |
| Zip Code | 46341-9539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023352895 | Judy Lynn Sholes | Physical Therapy Assistant | 14020 North County Line Road, Hebron, IN 46341 | 2012-11-19 |
| 1104175702 | Lowell Dentistry, P.C. | Dentist | 195 Deanna Dr., Lowell, IN 46341-2402 | 2012-08-29 |
| 1871909473 | Helen Kilburg | Social Worker | 114 Wenatchee Pl, Hebron, IN 46341-7204 | 2014-07-03 |
| 1720387533 | Erma J Galvin | Social Worker | 104 W Church St, Hebron, IN 46341-8558 | 2011-03-18 |
| 1699890103 | Robert W Moses Od Professional Corp. | Eyewear Supplier (Equipment, not the service) | 618 N Main St, Suite A, Hebron, IN 46341-8710 | 2007-03-21 |
| 1689698292 | Carla K Brink | Dentist | 56 Nichols St, Hebron, IN 46341-8774 | 2006-07-27 |
| 1134124118 | Select Medical Rehabilitation Clinics Inc | Clinic/Center | 50 Nichols St, Hebron, IN 46341-8774 | 2005-06-16 |
| 1528674942 | Rci (wrs), LLC. | Clinic/Center | 50 Nichols St, Hebron, IN 46341-8774 | 2020-09-21 |
| 1326571027 | Carla K. Brink, D.d.s., P.C. | Dentist | 56 Nichols St, Hebron, IN 46341-8774 | 2017-04-10 |
| 1942632906 | Katelyn Stahley | Physical Therapist | 50 Nichols St, Hebron, IN 46341-8774 | 2013-08-01 |
| Find all providers in zip 46341 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871083634 | Donald Clyde Roberts | Dentist | 299w-670s, Hebron, IN 46341-8833 | 2018-05-16 |
| 1952502387 | Roger Ferdinand Leutz | Dentist | 811 & One Half Main Street, Hebron, ND 58638 | 2007-05-31 |
| 1033323597 | Valerie M Watson | Dentist | 2940 Hebron Park Dr, Suite 104, Hebron, KY 41048-9534 | 2007-05-10 |
| 1689698292 | Carla K Brink | Dentist | 56 Nichols St, Hebron, IN 46341-8774 | 2006-07-27 |
| 1891781894 | Tiffany Lynne Buller-schussler | Dentist | 1960 N Bend Rd, Suite A, Hebron, KY 41048-9125 | 2005-09-25 |
| 1326571027 | Carla K. Brink, D.d.s., P.C. | Dentist | 56 Nichols St, Hebron, IN 46341-8774 | 2017-04-10 |
| 1215478706 | Professional Dental Alliance, LLC | Dentist | 820 W Main St, Hebron, OH 43025-9033 | 2017-03-16 |
| 1962898320 | Andrew Fennell | Dentist | 20 Liberty Dr, Hebron, CT 06248 | 2015-04-13 |
| 1790956951 | Steven S Lee, D.d.s. Inc | Dentist | 820 W. Main St., Hebron, OH 43025-0280 | 2008-03-17 |
| 1922204064 | Alexander James Stoycheff | Dentist | 820 W Main St, Hebron, OH 43025-9033 | 2007-06-25 |
| Find all providers in HEBRON | ||||
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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.