CEDAR LAKE DENTAL CENTER, INC. (NPI# 1326126871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326126871 |
| Entity Type | Organization |
| Organization Name | CEDAR LAKE DENTAL CENTER, INC. |
| Practice Address |
13955 Morse St Cedar Lake IN 46303-9639 |
| Practice Telephone | 2193745591 |
| Practice Fax Number | 2196622573 |
| Mailing Telephone | 2193745591 |
| Mailing Fax Number | 2196622573 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD DOUGLAS KAZWELL (PRESIDENT) |
| Authorized Official Telephone | 2193745591 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
54000250A | IN | Dental Providers |
| Street Address |
13955 MORSE ST |
| City | CEDAR LAKE |
| State | IN |
| Zip Code | 46303-9639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396110508 | Moody Dental LLC | Dentist | 13955 Morse St, Cedar Lake, IN 46303-9639 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356745327 | Robert Petersen | Occupational Therapy Assistant | 7105 W. 138th Ave., Cedar Lake, IN 46303 | 2014-10-20 |
| 1982956017 | Jean Marie Decavitch | Nurse Practitioner | 6831 W 133rd Ave, Cedar Lake, IN 46303 | 2012-10-13 |
| 1174761720 | Elizabeth Rachel Bakker | Speech-Language Pathologist | 12840 Alexander Street, Cedar Lake, IN 46303 | 2009-02-04 |
| 1982899654 | Terrence Scott Mcdermott | Dentist | 13315 Lincoln Plaza, Cedar Lake, IN 46303 | 2007-09-06 |
| 1568687937 | Terry Harman | Social Worker | 10800 W 33rd Ave, Cedar Lake, IN 46303 | 2007-04-13 |
| 1902992977 | Michael R Martell | Dentist | 12712 Wicker Avenue, Cedar Lake, IN 46303 | 2006-10-05 |
| 1346343035 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 11115 W. 133rd Ave, Cedar Lake, IN 46303 | 2006-09-07 |
| 1215040142 | Illiana Eyecare Inc | Optometrist | 13115 Wicker Avenue, Suite E, Cedar Lake, IN 46303 | 2006-08-16 |
| 1184852402 | Claire Dugan Mcclintock | Speech-Language Pathologist | 12845 Parrish Ave, Julie Berg Speech Pathology, P.C., Cedar Lake, IN 46303 | 2009-06-25 |
| 1962425090 | Town of Cedar Lake | Emergency Medical Technician, Intermediate | 9430 W. 133rd Avenue, Cedar Lake, IN 46303-0459 | 2006-07-26 |
| Find all providers in zip 46303 | ||||
| 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 |
|---|---|---|---|---|
| 1982899654 | Terrence Scott Mcdermott | Dentist | 13315 Lincoln Plaza, Cedar Lake, IN 46303 | 2007-09-06 |
| 1902992977 | Michael R Martell | Dentist | 12712 Wicker Avenue, Cedar Lake, IN 46303 | 2006-10-05 |
| 1053440289 | George William Harper | Dentist | 13963 Morse St, Suite A, Cedar Lake, IN 46303-9639 | 2007-03-05 |
| 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 | ||||
| City | CEDAR LAKE |
| Zip Code | 46303 |
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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.