DR. JON TYLER VANDEVENTER (NPI# 1912038258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912038258 |
| Entity Type | Individual |
| Full Name | DR. JON TYLER VANDEVENTER |
| Credential | D.D.S. |
| Practice Address |
8099 Rose Hill Dr Newburgh IN 47630-2384 |
| Practice Telephone | 8128532961 |
| Mailing Telephone | 8128532961 |
| Enumeration Date | 2007-03-08 |
| 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 | 12010766A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487745139 | Jon Vandeventer | Physical Medicine & Rehabilitation | 4500 South Lancaster Rd, Dallas Va - 128, Dallas, TX 75216 | 2006-09-27 |
| Street Address |
8099 ROSE HILL DR |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-2384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669503322 | Edward G Prusz | Dentist | 8099 Rose Hill Dr, Newburgh, IN 47630-2384 | 2007-03-07 |
| 1043549009 | Newburgh Smile Center, LLC | Clinic/Center | 8099 Rose Hill Dr, Newburgh, IN 47630-2384 | 2009-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| 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 |
|---|---|---|---|---|
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1063874006 | Emmanuelly Morales | Dentist | 1431 Ny-300, Newburgh, NY 12550 | 2016-03-28 |
| 1932580438 | Ryan Kapp | Dentist | 8166 Robin Hill Rd, Newburgh, IN 47630-3086 | 2015-06-11 |
| 1225388127 | Newburgh Dental Group | Dentist | 31 S Plank Rd, Newburgh, NY 12550-3901 | 2012-09-18 |
| 1205114147 | State Street Dentistry PC | Dentist | 333c State St, Newburgh, IN 47630-1231 | 2011-07-26 |
| 1740518273 | Thomas Carroll Scholl | Dentist | 4111 Highway 261, Newburgh, IN 47630 | 2009-11-20 |
| 1376799536 | Frederick Mourad | Dentist | 165 Liberty St, Newburgh, NY 12550-4911 | 2008-08-07 |
| 1083874812 | William R Hart | Dentist | 10655 State Rd 662, Newburgh, IN 47630 | 2008-06-16 |
| 1124287453 | Stephen Eric Enriquez | Dentist | 12 Hdsn Vly Prof Plz, Newburgh, NY 12550-3101 | 2008-06-02 |
| 1316121197 | Bogdan M Paunovic | Dentist | 1 Powelton Rd, Newburgh, NY 12550-2229 | 2007-12-28 |
| Find all providers in NEWBURGH | ||||
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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.