PHYLLIS R INDIANER DDS PLC (NPI# 1215237680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215237680 |
| Entity Type | Organization |
| Organization Name | PHYLLIS R INDIANER DDS PLC |
| Practice Address |
1423 Walton Blvd Rochester Hills MI 48309-1775 |
| Practice Telephone | 2486511555 |
| Practice Fax Number | 2486510560 |
| Mailing Telephone | 2486511555 |
| Mailing Fax Number | 2486510560 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |
| Authorized Official Name | DR. PHYLLIS R INDIANER (OWNER) |
| Authorized Official Telephone | 2486511555 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
012808 | MI | Ambulatory Health Care Facilities |
| Street Address |
1423 WALTON BLVD |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48309-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687772 | Phyllis Robin Indianer | Dentist | 1423 Walton Blvd, Rochester Hills, MI 48309-1775 | 2005-05-23 |
| 1164032926 | Internal Medicine Associates of Rochester Hills, P.C. | Internal Medicine | 1423 Walton Blvd, Rochester Hills, MI 48309-1775 | 2020-08-06 |
| 1164973095 | Santhakumar Neurology Associates, PC | Clinic/Center | 1423 Walton Blvd, Rochester Hills, MI 48309-1775 | 2016-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874541 | Tracy Rutherford | Licensed Practical Nurse | 1613 Star Beit Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1679016901 | Christian Ojimadu | Registered Nurse | 1613 Star-batt Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1841749173 | Julian Alexander Prosser | Social Worker | 1800 Star Batt Drive, Rochester Hills, MI 48309 | 2016-09-28 |
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1396021242 | Karen Renee Farrar | Social Worker | 1344 Chestnut Cir, Rochester Hills, MI 48309 | 2011-10-24 |
| 1083922389 | Michigan V & P Management, LLC | Specialist | 1886 W. Auburn #300, Rochester Hills, MI 48309 | 2010-09-21 |
| 1689894032 | Steven L. Lipton Dds, PC | Dentist | 111 Rochdale Dr, Rochester Hills, MI 48309 | 2007-04-26 |
| 1083735773 | Jennifer R Haener | Family Medicine | 2940 Crooks Road, Rochester Hills, MI 48309 | 2007-04-02 |
| 1215079645 | Eva Colleen Frances Mondor | Counselor | 155 Rochdale Dr. S, Suite B, Rochester Hills, MI 48309 | 2007-02-13 |
| Find all providers in zip 48309 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245684919 | Patrizia Scalia Dds Plc | Clinic/Center | 235 Shagbark Dr, Rochester Hills, MI 48309-1818 | 2016-04-19 |
| 1336794908 | Johnson and Varsanik, Pllc | Clinic/Center | 1460 Walton Blvd, Suite 205, Rochester Hills, MI 48309-4843 | 2019-08-09 |
| 1225501984 | David S. Muir, Dds Pllc | Clinic/Center | 1202 Walton Blvd Ste 213, Rochester Hills, MI 48307-6917 | 2019-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821216 | Inspired Family Dental Care | Clinic/Center | 1685 Fairholme Rd, Grosse Pointe Woods, MI 48236-2368 | 2020-11-05 |
| 1376144261 | Right Choice Dental, PC | Clinic/Center | 475 Columbia Ave E Ste 5, Battle Creek, MI 49014-5461 | 2020-11-05 |
| 1669073813 | Thomas M Smith, Dds, Plc | Clinic/Center | 755 Seminole Rd Ste 103, Norton Shores, MI 49441-6561 | 2020-11-04 |
| 1235739533 | Randy J Breen Dds Pllc | Clinic/Center | 2460 Burton St Se Ste 201, Grand Rapids, MI 49546-4800 | 2020-10-27 |
| 1831798370 | Saline Dental Care, Pllc | Clinic/Center | 150 Judd Rd, Milan, MI 48160-9584 | 2020-10-24 |
| 1235738113 | David Sorial Dds PC | Clinic/Center | 14755 Northline Rd, Southgate, MI 48195-2407 | 2020-10-21 |
| 1598363970 | Steven M Moss Dds PC | Clinic/Center | 37625 Ann Arbor Rd Ste 108, Livonia, MI 48150-2400 | 2020-10-16 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1245837806 | Kendall J Lee Dds Pllc | Clinic/Center | 111 S Howell St, Hillsdale, MI 49242-1873 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48309 |
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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.