LIFETIME DENTAL CARE OF INDIANA, PC (NPI# 1043432412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043432412 |
| Entity Type | Organization |
| Organization Name | LIFETIME DENTAL CARE OF INDIANA, PC |
| Other Organization Name | PRAIRIE LAKES DENTAL CARE |
| Practice Address |
14160 Mundy Drive Suite 1200 Noblesville IN 46060 |
| Practice Telephone | 3177741600 |
| Practice Fax Number | 3177741980 |
| Mailing Telephone | 3177741600 |
| Mailing Fax Number | 3177741980 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMY KROEGER (INS COOD) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Prairie Lakes Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699987545 | Lifetime Dental Care of Indiana, PC | Dentist | 11681 Brooks School Road, Suite 2, Fishers, IN 46038 | 2007-05-04 |
| 1619199221 | Lifetime Dental Care of Indiana, PC | Dentist | 777 Broadway, Suite A, Anderson, IN 46012 | 2007-05-03 |
| 1831311307 | Lifetime Dental Care of Indiana, PC | Dentist | 11683 Fox Road, Indianapolis, IN 46236 | 2007-05-03 |
| 1215159876 | Lifetime Dental Care of Indiana, PC | Dentist | 334 West Us 30, Suite G, Valparaiso, IN 46385 | 2007-05-03 |
| 1295957843 | Lifetime Dental Care of Indiana, PC | Dentist | 5855 Madison Ave, Suite H, Indianapolis, IN 46227 | 2007-05-03 |
| 1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
| 1093937682 | Lifetime Dental Care of Indiana, PC | Dentist | 8190 Windfall Lane, Suite B, Camby, IN 46113 | 2007-05-03 |
| 1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
| 1053523159 | Lifetime Dental Care of Indiana, PC | Dentist | 3915 South Madison Ave, Suite 2, Indianapolis, IN 46227 | 2007-05-03 |
| 1578785036 | Lifetime Dental Care of Indiana, PC | Dentist | 457 South Landmark Ave, Bloomington, IN 47403 | 2007-05-03 |
| Street Address |
14160 MUNDY DRIVE SUITE 1200 |
| City | NOBLESVILLE |
| State | IN |
| Zip Code | 46060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659932770 | Leah Marie Jurek | Physical Therapist | 9600 E 146th St, Noblesville, IN 46060 | 2019-06-28 |
| 1770142481 | Allison Elizabeth Tschuor | Speech-Language Pathologist | 9600 E. 146th St., Noblesville, IN 46060 | 2019-06-07 |
| 1700345600 | William Becker | Counselor | 970 Logan St., Noblesville, IN 46060 | 2019-03-19 |
| 1427515550 | Noblesville Assisted Living Group, LLC | Assisted Living Facility | 9600 E. 146th Street, Noblesville, IN 46060 | 2019-02-25 |
| 1568934271 | Papa M Diop | Nurse Practitioner | 9460 E 146th Street, Noblesville, IN 46060 | 2018-12-19 |
| 1205301769 | Noble Eyes, P.C. | Clinic/Center | 13300 Tegler Dr., Suite 110, Noblesville, IN 46060 | 2018-10-10 |
| 1013409994 | Reesa Smith | Marriage & Family Therapist | 23 S. 8th St, Suite 3700, Noblesville, IN 46060 | 2018-06-05 |
| 1497105761 | Jonathan Alford | Obstetrics & Gynecology | 4660 E 146th Street, Suite 100, Noblesville, IN 46060 | 2016-06-17 |
| 1447636113 | Melissa Fields | Nurse Practitioner | 203 Regent Ct, Noblesville, IN 46060 | 2015-08-05 |
| 1225419336 | Lauren Lee Brady | Counselor | 205 Westfield Rd., Noblesville, IN 46060 | 2015-06-15 |
| Find all providers in zip 46060 | ||||
| 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 |
|---|---|---|---|---|
| 1720572324 | Audrey Kyle | Dentist | 341 Logan St Ste 110, Noblesville, IN 46060-1572 | 2018-06-18 |
| 1790122273 | Jaclyn Kristine Ridder | Dentist | 15887 Cumberland Rd Ste 104, Noblesville, IN 46060 | 2013-05-24 |
| 1174787865 | David J Shock | Dentist | 14139 Town Center Blvd, Suite #200, Noblesville, IN 46060-3349 | 2008-07-11 |
| 1679764344 | Christopher Arthur Spohr | Dentist | 5713 Pebble Village Ln, Noblesville, IN 46062-7373 | 2007-08-07 |
| 1114117405 | Robin I Raub | Dentist | 19405 Little Chicago Rd, Noblesville, IN 46062 | 2007-08-01 |
| 1023237963 | James Huseman | Dentist | 485 Noble Creek Dr, Noblesville, IN 46060-3108 | 2007-04-25 |
| 1225165749 | Tony Ratliff | Dentist | 17021 Clover Rd Ste 101, Noblesville, IN 46060-3622 | 2007-02-28 |
| 1609967876 | Friedman Dentistry PC | Dentist | 16000 Prosperity Dr, Suite 100, Noblesville, IN 46060-4263 | 2006-09-27 |
| 1093816357 | Stephen Kohler | Dentist | 455 Sheridan Rd, Noblesville, IN 46060-1315 | 2006-09-26 |
| 1114933645 | Daniel A. Mcgrath | Dentist | 14780 North Pointe Blvd., Noblesville, IN 46060-4171 | 2006-08-01 |
| Find all providers in NOBLESVILLE | ||||
| City | NOBLESVILLE |
| Zip Code | 46060 |
Please comment or provide details below to improve the information on LIFETIME DENTAL CARE 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.