STOP ELEVEN DENTAL GROUP (NPI# 1952788762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952788762 |
| Entity Type | Organization |
| Organization Name | STOP ELEVEN DENTAL GROUP |
| Practice Address |
4950 E Stop 11 Rd Ste A Indianapolis IN 46237-9100 |
| Mailing Address |
1922 Edwardsville Club Plaza Ct Edwardsville IL 62025-3717 |
| Practice Telephone | 6182482038 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2016-03-11 |
| Authorized Official Name | DAVID GUILBEAULT (DENTIST/OWNER) |
| Authorized Official Telephone | 6182482038 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12012272A | IN | Dental Providers |
| Street Address |
4950 E STOP 11 RD STE A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-9100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831160118 | Michael F Arnold | Dentist | 4950 E Stop 11 Rd, Suite A, Indianapolis, IN 46237-9100 | 2006-01-27 |
| 1558855189 | Hannah Hartsock | Physical Therapist | 4950 E Stop 11 Rd, Indianapolis, IN 46237-9100 | 2018-06-18 |
| 1568846384 | Eliza B Dowell | Physical Therapist | 4950 E Stop 11 Rd, Ste. B, Indianapolis, IN 46237-9100 | 2015-07-10 |
| 1730528738 | Megan N Burnett | Physical Therapist | 4950 E Stop 11 Rd, Suite B, Indianapolis, IN 46237-9100 | 2013-06-24 |
| 1629331723 | Kelsey N Anderson | Physical Therapist | 4950 E Stop 11 Rd, Suite B, Indianapolis, IN 46237-9100 | 2012-06-22 |
| 1023389897 | Viresh Vasu | Physical Therapist | 4950 E Stop 11 Rd, Suite B, Indianapolis, IN 46237-9100 | 2012-01-25 |
| 1679888788 | Bradley M Howell | Physical Therapist | 4950 E Stop 11 Rd, Suite B, Indianapolis, IN 46237-9100 | 2010-08-12 |
| 1275774093 | Jeevan Pandya | Physical Therapist | 4950 E Stop 11 Rd, Ste B, Indianapolis, IN 46237-9100 | 2009-03-09 |
| 1356462097 | Paradox Dds | Dentist | 4950 E Stop 11 Rd, Suite A, Indianapolis, IN 46237-9100 | 2007-04-02 |
| 1386765030 | Robin M. Thoman | Dentist | 4950 E Stop 11 Rd, Ste A, Indianapolis, IN 46237 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| 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 |
|---|---|---|---|---|
| 1770194698 | Dental Professionals of In, P.C. | Dentist | 8570 Northwest Blvd, Indianapolis, IN 46278-1383 | 2020-08-13 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1932766508 | Brooke Nichole Scott | Dentist | 5501 E 71st St Ste 3, Indianapolis, IN 46220-3900 | 2019-05-20 |
| 1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
| 1639652126 | Gh Dental | Dentist | 6925 S Harding St Ste A, Indianapolis, IN 46217-4114 | 2018-09-11 |
| 1326533068 | Bryce Ashton Chambers | Dentist | 6010 W 86th St Ste 118, Indianapolis, IN 46278-1407 | 2018-06-26 |
| 1932694528 | Mfdc of Indiana, Inc | Dentist | 6225 W 56th St Ste 100, Indianapolis, IN 46254-0002 | 2018-06-26 |
| 1306331905 | Mfdc of Indiana, Inc | Dentist | 5935 S Emerson Ave Ste 200, Indianapolis, IN 46237-1975 | 2018-06-26 |
| 1376037853 | Decatur Family Dentistry LLC | Dentist | 5021 Kentucky Ave Ste G, Indianapolis, IN 46221-3650 | 2018-06-19 |
| 1215420252 | Wesley Kenn Burcham | Dentist | 1481 W 10th St # 160, Indianapolis, IN 46202 | 2018-06-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
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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.