SHELLIE ANN GODINA


Address: 422 N Benton St, Millersburg, IN 46543-9732
Phone: 5746424449

SHELLIE ANN GODINA (NPI# 1154661247) 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) 1154661247
Entity Type Individual
Full Name SHELLIE ANN GODINA
Practice Address 422 N Benton St
Millersburg
IN 46543-9732
Mailing Address 58724 Fawn River Ct
Elkhart
IN 46516-6200
Practice Telephone 5746424449
Mailing Telephone (574) 238-5470
Enumeration Date 2013-02-26
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 12011803A IN Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3702 E Mishawaka Rd, Elkhart, IN 465173550 5748756595

Office Location

Street Address 422 N BENTON ST
City MILLERSBURG
State IN
Zip Code 46543-9732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831312735 David Lyle Baer Dentist 422 N Benton St, Millersburg, IN 46543-9732 2007-04-10
1003345216 Springer Dental Care of Millersburg Dentist 422 N Benton St, Millersburg, IN 46543-9732 2017-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255984969 Mackenzie Lee Taylor Developmental Therapist 118 S Jackson St, Millersburg, IN 46543 2019-07-22
1124546049 Eric Mcalister Chiropractor 200 Oak St, Millersburg, IN 46543 2017-08-30
1144368382 Middlebury Family Physicians, Inc Family Medicine 501 E Washington St, Millersburg, IN 46543-7711 2007-02-01
1811319973 Holley Chiropractic, LLC Chiropractor 501 E Washington St, Millersburg, IN 46543-7711 2014-01-09

Providers in the same city

NPI Name Taxonomy Address Enumeration
1003417007 Katie M Yoder Technician 6659 County Road 77, Millersburg, OH 44654-7901 2020-11-05
1942801303 Marilyn C Yoder Technician 6187 County Road 77, Millersburg, OH 44654-9136 2020-11-03
1649870924 Tina M Chase Technician 2825 Ruswil Dr, Millersburg, OH 44654-4465 2020-10-27
1316546872 Jordan Mitchell Chase Spector Technician 1515 E Jackson St, Millersburg, OH 44654-8318 2020-10-25
1427657675 Kacie Lucille Leppla Specialist/Technologist 6471 Township Road 346, Millersburg, OH 44654 2020-10-20
1124625363 Morgan Alyssa Yoder Dietitian, Registered 6906 County Road 624, Millersburg, OH 44654-8393 2020-10-01
1497362420 Catherine E Chew Homemaker 6189 County Road 201, Millersburg, OH 44654-9215 2020-09-24
1821603044 Precious Angel Transportation Non-emergency Medical Transport (VAN) 5751 Tr 258, Millersburg, OH 44654-4465 2020-09-14
1164046207 Tae Gyung Hwang Dentist 4581 Township Rd 634, Millersburg, OH 44654 2020-06-04
1255984969 Mackenzie Lee Taylor Developmental Therapist 118 S Jackson St, Millersburg, IN 46543 2019-07-22
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962879023 Drew Allen Barder Dentist 546 Mohr Rd, Millersburg, PA 17061-9246 2015-08-25
1376551192 David Richard Russell Dentist 660 Rising Sun Road, Millersburg, PA 17061 2006-08-04
1033778881 Victoria Renee Shirley Dentist 660 Rising Sun Rd, Millersburg, PA 17061-1245 2019-06-06
1003345216 Springer Dental Care of Millersburg Dentist 422 N Benton St, Millersburg, IN 46543-9732 2017-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023615796 Himabindu Gogeneni Dentist 3575 Portage Ave Ste A, South Bend, IN 46628-6092 2020-10-06
1770193591 Urgent Dental Center Sw LLC Dentist 2907 Kentucky Ave Ste A, Indianapolis, IN 46221-2103 2020-08-06
1134737026 Gelsy Calvo Hernandez Dentist 1519 Us Highway 41 Ste B8, Schererville, IN 46375-1373 2020-07-17
1508483611 Monica Vance Dentist 1711 S State Road 135 Ste B, Greenwood, IN 46143-6481 2020-07-06
1265059828 Yuen Ting Chan Dentist 5240 Franklin St, Michigan City, IN 46360-7372 2020-06-30
1962028829 Knobs Damily Dental, LLC Dentist 3684 Us-150 #9, Floyds Knobs, IN 47119 2020-06-17
1962026948 Maria Contreras Mantilla Dentist 1320 W Bloomfield Rd, Bloomington, IN 47403-2001 2020-06-04
1801410931 Briana Michelle Maddox Dentist 35 S Creasy Ln Ste 3, Lafayette, IN 47905-5254 2020-06-04
1639793870 Bryan Schmidt Dentist 1639 North Cass St, Wabash, IN 46992 2020-06-03
1861027732 Kendall Thomas Sands Dentist 508 Indiana Ave # 3106, Indianapolis, IN 46202-3106 2020-03-11
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Competitor

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City MILLERSBURG
Zip Code 46543

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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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