RADCLIFFE FAMILY DENTAL, LLC (NPI# 1023201175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023201175 |
| Entity Type | Organization |
| Organization Name | RADCLIFFE FAMILY DENTAL, LLC |
| Practice Address |
1901 Grant Street Gary IN 46404-2761 |
| Practice Telephone | 2198801430 |
| Mailing Telephone | 2198801430 |
| Mailing Fax Number | 2198801431 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | TRINODA RADCLIFFE (OWNER) |
| Authorized Official Telephone | 2198801430 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12010399A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200860520 | 05 |
| Street Address |
1901 GRANT STREET |
| City | GARY |
| State | IN |
| Zip Code | 46404-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447672431 | Night Owl Inc. Home Care | In Home Supportive Care | 2209 Marshall St., Gary, IN 46404 | 2014-01-10 |
| 1881974608 | Verlilia Ann Pettigrew | Community Health Worker | 2144 Taney Pl, Gary, IN 46404 | 2011-08-24 |
| 1871682161 | Bmo Home Health Care Inc | Home Health | 1970 Grant Street, Gary, IN 46404 | 2006-10-12 |
| 1225064793 | Medical Supply Plus Inc | Durable Medical Equipment & Medical Supplies | 1982 Grant Street, Gary, IN 46404 | 2006-06-24 |
| 1275808065 | Suma Suresh Nair | Occupational Therapist | 2350 Taft Street, Timberview Health Care, Gary, IN 46404 | 2012-03-13 |
| 1093123234 | Lynne Marie Clapman | Nurse Practitioner | 1619 W. 5th Ave, Gary, IN 46404-0789 | 2014-07-31 |
| 1609193770 | Sandra A Scott | Custodial Care Facility | 300 Taft St, Gary, IN 46404-1016 | 2010-04-28 |
| 1760682652 | Marion Bernice Miller | Registered Nurse | 260 Arthur St, Gary, IN 46404-1118 | 2007-07-19 |
| 1932708575 | Jasmine Anita Johnson | Nurse's Aide | 431 Hayes St, Gary, IN 46404-1135 | 2020-10-24 |
| 1700086402 | Rosa L Murphy | Home Health Aide | 324 Mckinley St, Gary, IN 46404-1144 | 2007-07-20 |
| Find all providers in zip 46404 | ||||
| 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 |
|---|---|---|---|---|
| 1003172008 | Healthy Smiles Nwi | Dentist | 4629 Melton Rd., Gary, IN 46403 | 2012-04-04 |
| 1366674541 | Veronica Marie Brown | Dentist | Rt. 103 Supply Street, Gary, WV 24836 | 2009-08-20 |
| 1356564512 | Wyatt L Smith | Dentist | 5010 Broadway, Gary, IN 46408-4606 | 2007-04-10 |
| 1912030826 | Trinoda G Radcliffe | Dentist | 1901 Grant St, Gary, IN 46404-2761 | 2007-03-13 |
| 1073684247 | Gary Smiles Youth Dentistry, LLC | Dentist | 3506 Village Ct, Gary, IN 46408-1428 | 2006-11-10 |
| 1992887392 | John W Balaban | Dentist | Route 103, Supply St, Gary, WV 24836 | 2006-10-19 |
| 1962500298 | Lynn E Gassoway | Dentist | 8412 Maple Ave, Gary, IN 46403 | 2006-09-20 |
| 1154934446 | Charmi Solanki | Dentist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2020-08-26 |
| 1669901690 | Hye Sung Kim | Dentist | 1320 Broadway, Gary, IN 46407-1309 | 2017-06-04 |
| 1396136511 | 5th Ave Dental Inc. | Dentist | 1619 W 5th Ave, Gary, IN 46404-1506 | 2015-02-10 |
| Find all providers in GARY | ||||
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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.