WARRICK PARK DENTAL (NPI# 1003153354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003153354 |
| Entity Type | Organization |
| Organization Name | WARRICK PARK DENTAL |
| Practice Address |
800 Office Park Dr Boonville IN 47601-8601 |
| Practice Telephone | 8128974889 |
| Practice Fax Number | 8128978113 |
| Mailing Telephone | 8128974889 |
| Mailing Fax Number | 8128978113 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |
| Authorized Official Name | DR. JED MARLIN INMAN (OWNER/DENTIST) |
| Authorized Official Telephone | 8128974889 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
12011465A | IN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7613 | IN | Dental Providers |
| Street Address |
800 OFFICE PARK DR |
| City | BOONVILLE |
| State | IN |
| Zip Code | 47601-8601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588740815 | Jed Marlin Inman | Dentist | 800 Office Park Dr, Boonville, IN 47601-8601 | 2006-10-30 |
| 1306231717 | Nicholas J Wagner, Dds, LLC | Dentist | 800 Office Park Dr, Boonville, IN 47601-8601 | 2015-04-02 |
| 1023338480 | Nicholas Joseph Wagner | Dentist | 800 Office Park Dr, Boonville, IN 47601-8601 | 2010-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617622 | Dante J Grasso | Dentist | 602 W. Locust St., Boonville, IN 47601 | 2018-07-30 |
| 1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
| 1982097911 | Doctor James E. Eash, D.d.s., P.C. | Exclusive Provider Organization | 911 Aigner Drive, Boonville, IN 47601 | 2015-03-16 |
| 1073734315 | Warrick County School Corp. | Local Education Agency (LEA) | 300 East Gum Street, Boonville, IN 47601 | 2007-05-02 |
| 1811042237 | St. Marys Warrick Hospital, Inc. | Psychiatric Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-24 |
| 1073687877 | James E Eash | Dentist | 911 Aigner Dr, Boonville, IN 47601 | 2006-11-20 |
| 1902073554 | Tri-state Behavioral Health LLC | Psychiatry & Neurology | 1116 Millis Ave, St. Mary's Warrick, Boonville, IN 47601 | 2008-05-13 |
| 1073668273 | St. Mary's Warrick Hospital, Inc. | Medicare Defined Swing Bed Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-25 |
| 1790889046 | Jeffrey P Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
| 1376631572 | Kolb & Kolb Dds LLC | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-10-11 |
| Find all providers in zip 47601 | ||||
| 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 |
|---|---|---|---|---|
| 1235617622 | Dante J Grasso | Dentist | 602 W. Locust St., Boonville, IN 47601 | 2018-07-30 |
| 1639313752 | Ricky D. Powell, D.d.s., LLC | Dentist | 1945 Boone Villa Dr, B, Boonville, MO 65233-2050 | 2009-04-21 |
| 1487784278 | Bruce Michael Renders | Dentist | 109 Ann Street, Boonville, NY 13309 | 2007-03-07 |
| 1457495681 | Ricky D. Powell | Dentist | 1945b Boone Villa Dr, Boonville, MO 65233-1987 | 2007-02-19 |
| 1881771889 | Carole Ann Murphy | Dentist | 13500 Airport Rd, Boonville, CA 95415-9133 | 2006-11-01 |
| 1588740815 | Jed Marlin Inman | Dentist | 800 Office Park Dr, Boonville, IN 47601-8601 | 2006-10-30 |
| 1740298082 | Thaddeus Garrison Stumph | Dentist | 1115 Main St., Boonville, MO 65233-1743 | 2006-08-03 |
| 1811944929 | Virginia E. Dooley | Dentist | 1480 W Ashley Rd, Boonville, MO 65233-2141 | 2006-05-27 |
| 1225260623 | Pon T Tath | Dentist | 13500 Airport Rd, Boonville, CA 95415-9133 | 2009-08-18 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| Find all providers in BOONVILLE | ||||
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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.