PROFESSIONAL DENTAL SERVICES OF INDIANA PC (NPI# 1023638293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023638293 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DENTAL SERVICES OF INDIANA PC |
| Other Organization Name | BRIGHT TIGER DENTAL |
| Practice Address |
4960 S Emerson Ave Indianapolis IN 46203-5937 |
| Mailing Address |
10601 Mission Rd Ste 240 Leawood KS 66206-2427 |
| Practice Telephone | 3178861578 |
| Mailing Telephone | 9133551121 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | DONALD SWOVERLAND (DENTIST/OWNER) |
| Authorized Official Telephone | 9133551121 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bright Tiger Dental | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5457 W 38th St, Indianapolis, IN 462542917 | 3179343479 | |
| 7015 Us 31 S Ste D, Indianapolis, IN 462278619 | 3178861581 | |
| 8845 Boehning Ln, Indianapolis, IN 462191974 | 3176205415 | |
| 3269 W 86th St, Indianapolis, IN 462683823 | 3174804308 | |
| 6150 E 82nd St # 100, Indianapolis, IN 462501500 | 3174497468 | |
| 2128 Mounds Rd, Anderson, IN 460165713 | 7656780032 | |
| 8906 Rockville Rd, Indianapolis, IN 462342732 | 3179343477 | |
| 1160 E Lewis and Clark Pkwy, Clarksville, IN 471297735 | 8125461177 | |
| 360 New Albany Plz, New Albany, IN 471504654 | 8122504535 | |
| 713 Us Highway 41 Ste A, Schererville, IN 463751798 | 2194911433 | |
| 532 E 81st Ave, Merrillville, IN 464105599 | 2192495969 |
| Street Address |
4960 S EMERSON AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46203-5937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689783466 | Christina Weber | Dentist | 4960 S Emerson Ave, Indianapolis, IN 46203-5937 | 2006-08-29 |
| 1982135174 | Dental Services of Indiana, P.C. | Dentist | 4960 S Emerson Ave, Indianapolis, IN 46203-5937 | 2017-03-21 |
| 1407309586 | Hend Sherif | Dentist | 4960 S Emerson Ave, Indianapolis, IN 46203-5937 | 2016-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362665 | Yvonne Irene Wince | Pharmacist | 608 Twin Aire Dr, Indianapolis, IN 46203 | 2019-12-04 |
| 1730635681 | Kensie Waller | Registered Nurse | 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203 | 2016-08-31 |
| 1629285820 | 21st Century Charter School At Fountain Square | Local Education Agency (LEA) | 1615 South Barth Ave, Indianapolis, IN 46203 | 2007-05-17 |
| 1912124918 | Richard Walter James | Chiropractor | 3850 S Emerson, Suite F, Indianapolis, IN 46203 | 2007-04-19 |
| 1245386655 | Gary Richard Billingsley | Chiropractor | 4940 S Emerson Ave, Indianapolis, IN 46203 | 2007-01-26 |
| 1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
| 1245324755 | Rtc Resource Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-02 |
| 1548776925 | Erin Tofani | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2017-12-20 |
| 1114464575 | Abigail G Boris | Registered Nurse | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2017-01-24 |
| 1285184481 | Kelli Joy Bovenkerk | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2016-10-12 |
| Find all providers in zip 46203 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720147 | Ms Vibbert Dds PC | Clinic/Center | 7301 Georgetown Rd Ste 113, Indianapolis, IN 46268-4157 | 2020-11-05 |
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1033746136 | Jillian C. Brady, Dds, LLC | Clinic/Center | 5150 E Stop 11 Rd Ste 11, Indianapolis, IN 46237-8629 | 2020-03-26 |
| 1356813935 | Red Hat Neighborhood Dentist | Clinic/Center | 5719 Lawton Loop East Dr Ste 2, Indianapolis, IN 46216-2322 | 2018-12-20 |
| 1336618503 | Kim & Au-yeung Dentistry, P.C. | Clinic/Center | 8354 Little Eagle Ct Ste A, Indianapolis, IN 46234-3822 | 2018-11-17 |
| 1033686142 | Red Bird Dental LLC | Clinic/Center | 839 S Delaware St, Indianapolis, IN 46225-1782 | 2018-10-26 |
| 1497239297 | Dennis J. Heritier Dds P.C. | Clinic/Center | 6284 Rucker Rd Ste G, Indianapolis, IN 46220-4851 | 2018-09-18 |
| 1689165672 | Xu Family Dental, LLC | Clinic/Center | 828 Fort Wayne Ave, Indianapolis, IN 46204-1309 | 2018-05-24 |
| 1205332327 | Monroe County Family Dental and Implant Center | Clinic/Center | 401 N Senate Ave Unit 648, Indianapolis, IN 46204-1259 | 2018-04-05 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46203 |
Please comment or provide details below to improve the information on PROFESSIONAL DENTAL SERVICES OF INDIANA 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.