ADVANCED DENTAL CARE OF FORTVILLE, LLC (NPI# 1205454014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205454014 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL CARE OF FORTVILLE, LLC |
| Practice Address |
545 Vitality Dr Ste F Fortville IN 46040-1373 |
| Practice Telephone | 3174857000 |
| Mailing Telephone | 3174857000 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | JACK SUMMERLIN III (OWNER) |
| Authorized Official Telephone | 7654857000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
545 VITALITY DR STE F |
| City | FORTVILLE |
| State | IN |
| Zip Code | 46040-1373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629591979 | Life Refined Chiropractic, LLC | Chiropractor | 14214 Valley Crest Ct, Fishers, IN 46040 | 2017-07-19 |
| 1154613131 | George Steven Kalesperis | Neuromusculoskeletal Medicine & OMM | 8457 W 1000 S, Fortville, IN 46040 | 2011-05-09 |
| 1730306341 | Saranya Nagireddy | Physical Therapist | 15393 Ackerley Dr, Fortville, IN 46040 | 2007-04-18 |
| 1518094390 | Lori K King | Speech-Language Pathologist | 11010 Harbor Bay Drive, Fortville, IN 46040 | 2007-02-27 |
| 1154405645 | Brendan Leroy | Family Medicine | 545 Vitality Dr Ste 100a, Fortville, IN 46040 | 2006-10-24 |
| 1720566318 | Howard Health, LLC | Behavioral Analyst | 9276 W 1025 S, Fortville, IN 46040 | 2018-08-06 |
| 1285851899 | Hari Shanthan Nagi Reddy | Physical Therapist | 15393 Ackerley Dr, Fortville, IN 46040 | 2007-04-18 |
| 1992815054 | John Day Kingsbury | Dentist | 14 S Main St, Fortville, IN 46040 | 2006-08-30 |
| 1710024229 | Sajid Hameed | Physical Therapist | 800 Center St, Fortville, IN 46040-1007 | 2007-01-31 |
| 1356795983 | Amber Hensley | Occupational Therapist | 206 E Carolina St, Fortville, IN 46040-1096 | 2016-04-20 |
| Find all providers in zip 46040 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720147 | Ms Vibbert Dds PC | Clinic/Center | 7301 Georgetown Rd Ste 113, Indianapolis, IN 46268-4157 | 2020-11-05 |
| 1508471814 | White River Family Dental and Implant Center | Clinic/Center | 1638 W Smith Valley Rd Ste B, Greenwood, IN 46142-1550 | 2020-09-14 |
| 1669087144 | Babb Dentistry LLC | Clinic/Center | 2229 W Virginia St, Evansville, IN 47712-5214 | 2020-09-11 |
| 1790398451 | Bryant P. Burkett Dds, LLC | Clinic/Center | 5310 Pearl Dr Ste C, Evansville, IN 47712-8105 | 2020-08-24 |
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1831701044 | Tree of Life LLC | Clinic/Center | 311 Florence Ave, Granger, IN 46530-8049 | 2020-08-19 |
| 1568073096 | Fdg Mobile | Clinic/Center | 438 S Emerson Ave Ste 231, Greenwood, IN 46143-1948 | 2020-08-10 |
| 1992315980 | Kaszuba Dental, LLC | Clinic/Center | 1934 45th St, Munster, IN 46321-3917 | 2020-08-04 |
| 1366066375 | Jindal Management LLC | Clinic/Center | 701 N Weinbach Ave Ste 910, Evansville, IN 47711-6607 | 2020-06-05 |
| 1407479058 | Dogwood Dental LLC | Clinic/Center | 262 N Maple St, Orleans, IN 47452-1426 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
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| 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.