VANDERBURGH COUNTY


Address: 612 Se 4th St, Evansville, IN 47713-1210
Phone: 8124352450

VANDERBURGH COUNTY (NPI# 1134159676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134159676
Entity Type Organization
Organization Name VANDERBURGH COUNTY
Other Organization Name COMMUNITY DENTAL CLINIC
Practice Address 612 Se 4th St
Evansville
IN 47713-1210
Mailing Address 420 Mulberry St
Oak Park Professional Building
Evansville
IN 47713-1231
Practice Telephone 8124352450
Mailing Telephone 8124355443
Enumeration Date 2006-07-03
Last Update Date 2017-09-14
Authorized Official Name DR. ROBERT KENNETH SPEAR (HEALTH OFFICER)
Authorized Official Telephone 8124355684
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
Dental Providers
N 251K00000X Public Health or Welfare Agencies

Other Provider Identifier

State Issuer Identifier Type Code
IN 200825790 05

Other Provider/Organization Names

Other Name Type Code
Community Dental Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578508453 Vanderburgh County Public Health or Welfare 420 Mulberry St, Oak Park Professional Building, Evansville, IN 47713-1231 2006-06-17
1033359377 Vanderburgh County Public Health or Welfare 420 Mulberry St, Oak Park Professional Building, Evansville, IN 47713-1231 2009-02-26
1386720050 Vanderburgh County Public Health or Welfare 420 Mulberry St, Oak Park Professional Building, Evansville, IN 47713-1231 2006-10-27
1003992777 Vanderburgh County Public Health or Welfare 420 Mulberry St, Oak Park Professional Building, Evansville, IN 47713-1231 2006-10-27
1538244470 Vanderburgh County Case Management 420 Mulberry St, Oak Park Professional Building, Evansville, IN 47713-1231 2006-10-26
1801979331 Vanderburgh County Clinical Medical Laboratory 420 Mulberry St, Oak Park Professional Building, Evansville, IN 47713-1231 2006-10-20

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities VANDERBURGH COUNTY 4-H CLUB ASSOCIATON INC 201 E. Boonville New Harmony Rd., Evansville, IN 47725
Indiana Business Entities VANDERBURGH COUNTY 4-H COUNCIL INC 13301 Darmstadt Rd., Evansville, IN 47725-9593
Indiana Business Entities VANDERBURGH COUNTY 4-H TRUST FUND INC 201 E Boonville-new Harmony Rd, Evansville, IN 47725
Indiana Business Entities VANDERBURGH COUNTY BASEBALL CLUB INC. 1101 Old Post Road, Evansville, IN 47710
Indiana Business Entities VANDERBURGH COUNTY CASA INCORPORATED 728 Court Street, Evansville, IN 47708
Indiana Business Entities VANDERBURGH COUNTY CHILDREN'S BEQUEST FUND, INC. 222 Court Building, 123 Nw Fourth Street, Evansville, IN 47708
Indiana Business Entities VANDERBURGH COUNTY CONVENTION & VISITORS BUREAU INC 715 Locust St, Evansville, IN 47708
Indiana Business Entities VANDERBURGH COUNTY FAIR ASSOCIATION, INC. Po Box 58, Optional, Inglefield, IN 47618
System for Award Management (SAM) Entities VANDERBURGH COUNTY HEALTH DEPARTMENT 420 Mulberry St, Evansville, IN 47713-1231
Indiana Business Entities VANDERBURGH COUNTY ORPHAN'S EDUCATIONAL FUND INC 1800 Lincoln Avenue, Evansville, IN 47722

Office Location

Street Address 612 SE 4TH ST
City EVANSVILLE
State IN
Zip Code 47713-1210

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942627526 Scacure Neworks, Inc Voluntary or Charitable 815 John Street, Suite 110, Evansville, IN 47713 2014-03-21
1356434948 James Mcfarland Galbraith Social Worker 500 E. Walnut St, Evansville, IN 47713 2006-10-02
1578657912 Norma J. Nickens Social Worker 500 E. Walnut St., Evansville, IN 47713 2006-10-02
1053402826 Douglas Floyd Fackler Physician Assistant Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 2006-09-27
1205930583 Elmer B Wannemuehler Social Worker 414 Se Fourth Street, Evansville, IN 47713 2006-09-08
1548287287 Barbara Witte Counselor 709 S E 2nd St, Evansville, IN 47713 2006-07-17
1265431209 Mary Beth Lodato Advanced Practice Midwife 316 Chandler Ave, Evansville, IN 47713 2005-07-20
1750380739 Select Specialty Hospital - Evansville LLC Long Term Care Hospital 400 Se 4th Street, Evansville, IN 47713 2005-07-20
1265439012 Elizabeth Ann Kalb Psychologist 315 Mulberry St, Evansville, IN 47713 2005-07-07
1306373782 Stacey Bane Pharmacist 415 Mulberry Street, Evansville, IN 47713 2017-05-17
Find all providers in zip 47713

Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063904100 Kokomo Pediatric Dentistry, LLC Dentist 2350 S Dixon Rd Ste 425, Kokomo, IN 46902-6422 2018-06-05
1205353802 Lorie G Brinson, Dds, PC Dentist 3934 W 96th St Ste B, Indianapolis, IN 46268-2928 2017-08-24
1265805717 Smile Academy of Kentucky Dentist 2776 Campion Road, Floyds Knobs, IN 47119 2015-11-05
1982986493 Mark E Mallatt Dentist 1753 Esther Ct, Plainfield, IN 46168-9336 2011-09-12
1881906634 Cratisa Latwann Caldwell Dentist 8151 E 21st St, Indianapolis, IN 46219 2010-07-09
1912067349 Indiana University Northwest Dentist 3400 Broadway, Gary, IN 46408-1101 2006-12-08
1558450346 James A Roberts Dentist 102 N Clark St, Auburn, IN 46706 2006-10-12
1710927843 Robert Mark Grace Dentist Community Health Center, 400 Teagarden, La Porte, IN 46350-3175 2006-06-07
1487262531 Chloe Katherine Mounayar Dentist 1200 Andrew Ave, La Porte, IN 46350-5339 2020-07-15
1164848685 Gerardo Maupome-carvantes Dentist 415 Lansing St, Indianapolis, IN 46202-2855 2014-03-07
Find all providers with the same taxonomy

Competitor

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City EVANSVILLE
Zip Code 47713

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Dataset Information

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.

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