EAST WASHINGTON STREET DENTAL INDY, IN, PC (NPI# 1992299689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992299689 |
| Entity Type | Organization |
| Organization Name | EAST WASHINGTON STREET DENTAL INDY, IN, PC |
| Other Organization Name | PIPPIN DENTAL |
| Practice Address |
9972 E Washington St Indianapolis IN 46229-3040 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 7709165036 |
| Mailing Telephone | 7709165036 |
| Mailing Fax Number | 6782854760 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | DR. DALE MAYFIELD (PRESIDENT) |
| Authorized Official Telephone | 7709165036 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Pippin Dental | Doing Business As Name - Organization |
| Street Address |
9972 E WASHINGTON ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46229-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487150124 | Patrice R. Mosley | Registered Nurse | 9385 E Washington St, Indianapolis, IN 46229 | 2018-04-02 |
| 1013424621 | Latasha Fisher | Registered Nurse | 9822 Fulbrook Dr, Indianapolis, IN 46229 | 2018-01-04 |
| 1417324856 | Ourhealth Physicians Group, LLC | Clinic/Center | 9934 E Washington Street, Indianapolis, IN 46229 | 2015-09-01 |
| 1134479470 | Loving Hands Senior Care and Relocation | In Home Supportive Care | 9702 E Washington Ste 400 Pmd 185, Indianapolis, IN 46229 | 2012-09-13 |
| 1902155815 | Planned Parenthood of Indiana Eastside | Clinic/Center | 9385 E. Washington St., Indianapolis, IN 46229 | 2012-09-06 |
| 1407092497 | Amy Katherine Graham | Chiropractor | 11020 E 10th St Ste B, Indianapolis, IN 46229 | 2008-12-23 |
| 1043408610 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 9630 Washington Street, Indianapolis, IN 46229 | 2007-10-09 |
| 1487867024 | Holli A H Bowser | Dietitian, Registered | 9660 E Washington St, Indianapolis, IN 46229 | 2007-05-08 |
| 1336361708 | Dental Professionals of Indiana, P.C. | Dentist | 986 North Mitthoeffer, Indianapolis, IN 46229 | 2007-05-03 |
| 1386865558 | Gary Lee Bacon | Dentist | 316 Washington Pointe Drive, Indianapolis, IN 46229 | 2007-05-02 |
| Find all providers in zip 46229 | ||||
| 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 | 46229 |
Please comment or provide details below to improve the information on EAST WASHINGTON STREET DENTAL INDY, IN, PC.
| 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.