ALL FAMILY DENTAL & BRACES, LLC. (NPI# 1083122097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083122097 |
| Entity Type | Organization |
| Organization Name | ALL FAMILY DENTAL & BRACES, LLC. |
| Other Organization Name | ALL ABOUT KIDS DENTAL CARE |
| Practice Address |
7863 Broadway Ste 111 Merrillville IN 46410-5530 |
| Mailing Address |
4849 N Milwaukee Ave Ste 403 Chicago IL 60630-2169 |
| Practice Telephone | 2197696636 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | SCOTT D GOLDMAN (CO-OWNER/PRESIDENT) |
| Authorized Official Telephone | 3128822569 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| All About Kids Dental Care | Doing Business As Name - Organization |
| Children's Dental Group of Northwest IN | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1495 Pope Ct, Chesterton, IN 463045301 | 2199261068 |
| Street Address |
7863 BROADWAY STE 111 |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-5530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922528405 | Lauren Nicole Carlson | Dentist | 7863 Broadway Ste 111, Merrillville, IN 46410-5530 | 2017-06-26 |
| 1316432305 | Kiah Henry | Dentist | 7863 Broadway Ste 111, Merrillville, IN 46410-5530 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| 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 |
|---|---|---|---|---|
| 1932672052 | Secure Dental Ix LLC | Dentist | 2381 E 80th Ave, Merrillville, IN 46410-5722 | 2019-01-11 |
| 1245725340 | Christopher Lukasik | Dentist | 55 E 86th Ave Ste C, Merrillville, IN 46410-6265 | 2018-06-30 |
| 1396267357 | Trent Allan Jones | Dentist | 6 W Lincoln Hwy, Merrillville, IN 46410 | 2017-07-12 |
| 1861921454 | Ramez Magdy Saweres | Dentist | 532 E 81st Ave, Merrillville, IN 46410-5599 | 2017-06-07 |
| 1669825832 | Timothy John Kamp | Dentist | 303 W 89th Ave Ste E2, Merrillville, IN 46410-6295 | 2016-07-22 |
| 1134489198 | Chris David Kutanovski | Dentist | 9205 Broadway Ste A, Merrillville, IN 46410-7061 | 2012-05-24 |
| 1548549439 | Igor Ristevski | Dentist | 233 E. 84th Drive, Suite 106, Merrillville, IN 46410-6465 | 2011-08-09 |
| 1154543635 | Dental Professionals of Indiana, P.C. | Dentist | 8079 Madison St, Merrillville, IN 46410-5465 | 2007-05-03 |
| 1619191657 | Jill Halcarz | Dentist | 1000 E 80th Pl Ste 523, Merrillville, IN 46410-5608 | 2007-04-12 |
| 1407079320 | Hugh P Seller | Dentist | 105 W 78th Pl, Merrillville, IN 46410-5468 | 2007-04-10 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on ALL FAMILY DENTAL & BRACES, LLC..
| 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.