DR. ROLAND R DITTO SR. (NPI# 1912085903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912085903 |
| Entity Type | Individual |
| Full Name | DR. ROLAND R DITTO SR. |
| Credential | D.D.S., M.S.D. |
| Practice Address |
2347 Cason St Lafayette IN 47904-2670 |
| Practice Telephone | 7654476808 |
| Practice Fax Number | 7654476809 |
| Mailing Telephone | 7654476808 |
| Mailing Fax Number | 7654476809 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12006588A | IN | Dental Providers |
| Street Address |
2347 CASON ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477869378 | Lafayette Pediatric Dentistry & Orthodontics | Dentist | 2347 Cason St, Lafayette, IN 47904-2670 | 2010-08-30 |
| 1245497767 | Marcus Ditto | Dentist | 2347 Cason St, Lafayette, IN 47904-2670 | 2008-05-21 |
| 1689752685 | Edward M Sammons | Dentist | 2347 Cason St, Lafayette, IN 47904-2670 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629407770 | Shilpa Nileshwar | Dentist | 210 Beaullieu Dr, Lafayette, LA 70508-7226 | 2013-11-08 |
| 1932426970 | Barnali Roy | Dentist | 3501 School St, Lafayette, CA 94549-4505 | 2010-04-30 |
| 1396974655 | S. Troy Miller Dds Apdc | Dentist | 500 Dover Blvd Ste 300, Lafayette, LA 70503-5000 | 2009-07-08 |
| 1326211863 | Pediatric Dental Group of Lafayette | Dentist | 300 Exempla Cir Ste 460, Lafayette, CO 80026 | 2008-04-04 |
| 1720115058 | Leslie J Jacobs | Dentist | 113 Rue Fontaine, Lafayette, LA 70508 | 2007-02-27 |
| 1689758096 | Carl B Gonsoulin | Dentist | 126 Hospital Dr, Lafayette, LA 70503-2819 | 2006-10-24 |
| 1902855398 | William A Keaty | Dentist | 350 Doucet Rd, Lafayette, LA 70503-3415 | 2006-05-10 |
| 1417577461 | Hannah Boudreaux Noto | Dentist | 185 S Beadle Rd, Lafayette, LA 70508-4287 | 2020-04-20 |
| 1871034397 | R K Nassiri, Dds, Msd, Inc | Dentist | 3466 Mt Diablo Blvd, Suite C207, Lafayette, CA 94549-7106 | 2017-03-16 |
| 1386182418 | Anita J Gouri Dds LLC | Dentist | 350 Doucet Rd, Ste 101, Lafayette, LA 70503-3415 | 2017-02-09 |
| 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.