MKD DENTAL GROUP (NPI# 1164786133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164786133 |
| Entity Type | Organization |
| Organization Name | MKD DENTAL GROUP |
| Other Organization Name | GRABILL FAMILY DENTISTRY |
| Practice Address |
13307 Witmer Rd Grabill IN 46741-9636 |
| Practice Telephone | 2606271211 |
| Practice Fax Number | 2606271277 |
| Mailing Telephone | 2606271211 |
| Mailing Fax Number | 2606271277 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | DR. MATTHEW STEVEN KOLKMAN (OWNER/DENTIST) |
| Authorized Official Telephone | 2606271211 |
| Authorized Official Credential | DDS |
| 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 |
|---|---|
| Grabill Family Dentistry | Doing Business As Name - Organization |
| Street Address |
13307 WITMER RD |
| City | GRABILL |
| State | IN |
| Zip Code | 46741-9636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255693396 | Matthew S. Kolkman | Dentist | 13307 Witmer Rd, Grabill, IN 46741-9636 | 2012-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245523166 | Grabill Eye Center LLC | Optometrist | 13813 State Street, Grabill, IN 46741 | 2011-05-25 |
| 1528097409 | Northeast Allen County Fire & Ems, Inc. | Ambulance | 13415 State Street, Grabill, IN 46741-0428 | 2006-07-02 |
| 1497909105 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 13430 Main Street, Grabill, IN 46741-2001 | 2008-11-07 |
| 1437330172 | Pa Labs Inc | Clinical Medical Laboratory | 13430 Main St, Grabill, IN 46741-2001 | 2007-11-23 |
| 1912070780 | Maureen Teresa Cuney | Nurse Practitioner | 13410 Main Street, Grabill, IN 46741-2001 | 2006-11-17 |
| 1588779375 | Jerry Alvin Dearth | Family Medicine | 13410 Main St, Box 340, Grabill, IN 46741-2001 | 2006-08-20 |
| 1114370152 | Nicholas Ramer | Nurse Practitioner | 13430 Main St, Grabill, IN 46741-2001 | 2016-07-14 |
| 1235472291 | Deanna L Sipe | Nurse Practitioner | 13410 Main St, Grabill, IN 46741-2001 | 2013-03-28 |
| 1972803385 | Amy Marie Rowan | Physician Assistant | 13430 Main St, Grabill, IN 46741-2001 | 2010-11-01 |
| 1528245966 | Brenda M Hoffman | Physician Assistant | 13430 Main St, Grabill, IN 46741-2001 | 2008-01-29 |
| Find all providers in zip 46741 | ||||
| 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 |
|---|---|---|---|---|
| 1053912121 | Danville Downtown Dentistry LLC | Dentist | 94 S Tennessee St, Danville, IN 46122-1836 | 2020-11-05 |
| 1558968024 | Connor Michael Kirtley | Dentist | 325 N Walnut St Ste A, Seymour, IN 47274-2113 | 2020-10-07 |
| 1467067819 | Hewlett Zaremba LLC | Dentist | 309 N Bittersweet Rd # 105, Mishawaka, IN 46544-4220 | 2020-09-12 |
| 1679186258 | James Patrick Thompson | Dentist | 5909 Wheelock Rd Ste 102, Fort Wayne, IN 46835-9258 | 2020-08-25 |
| 1770194698 | Dental Professionals of In, P.C. | Dentist | 8570 Northwest Blvd, Indianapolis, IN 46278-1383 | 2020-08-13 |
| 1407466055 | Marcus Bigot | Dentist | 13590b N Meridian St Ste 101, Carmel, IN 46032-1409 | 2020-08-07 |
| 1639788219 | Karima N Lubbadeh | Dentist | 12574 Promise Creek Ln Ste 110, Fishers, IN 46038-7713 | 2020-07-29 |
| 1689282196 | Eric Gerald Hollensbe | Dentist | 3415 S Lafountain St Ste I, Kokomo, IN 46902-3826 | 2020-07-21 |
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1578181194 | Trisha Johnson Cahill | Dentist | 1202 W Buena Vista Rd Ste 206, Evansville, IN 47710-5134 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MKD DENTAL GROUP.
| 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.