PAUL J. CHALLGREN DDS PC (NPI# 1376684894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376684894 |
| Entity Type | Organization |
| Organization Name | PAUL J. CHALLGREN DDS PC |
| Practice Address |
170 Professional Ct Lafayette IN 47905-5153 |
| Practice Telephone | 7654469606 |
| Practice Fax Number | 7654469699 |
| Mailing Telephone | 7654469606 |
| Mailing Fax Number | 7654469699 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-01-28 |
| Authorized Official Name | DR. PAUL JAMES CHALLGREN (PRESIDENT) |
| Authorized Official Telephone | 7654469606 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
12007766A | IN | Ambulatory Health Care Facilities |
| Street Address |
170 PROFESSIONAL CT |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134201056 | Paul James Challgren | Dentist | 170 Professional Ct, Lafayette, IN 47905-5153 | 2006-10-19 |
| 1649676354 | Challgren Dentistry PC | Dentist | 170 Professional Ct, Lafayette, IN 47905-5153 | 2014-11-06 |
| 1245465723 | Erik Challgren | Dentist | 170 Professional Ct, Lafayette, IN 47905-5153 | 2009-05-27 |
| 1679692354 | Craig Robert Challgren | Dentist | 170 Professional Ct, Lafayette, IN 47905-5153 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| 1750724613 | Shane T Cope LLC | Clinic/Center | 4921 State Road 26 E, Suite 100, Lafayette, IN 47905-4608 | 2013-04-10 |
| 1760761704 | Batliner Dental Health, Pllc | Clinic/Center | 2695 N Park Dr, Suite 104, Lafayette, CO 80026-3177 | 2011-08-09 |
| 1063681914 | Imagdent Acadiana, L.L.C. | Clinic/Center | 1225 Coolidge Blvd, Lafayette, LA 70503-2620 | 2008-02-25 |
| 1083212591 | Rebecca Jardine, Dds, Inc. | Clinic/Center | 915 Village Ctr, Lafayette, CA 94549-3504 | 2020-10-16 |
| 1932718335 | Lafayette Endodontics, LLC | Clinic/Center | 415 N 26th St Ste 302, Lafayette, IN 47904-2893 | 2020-07-31 |
| 1245861665 | Taylor Houston Shank, Dds, A Professional Dental Corporation | Clinic/Center | 313 E Main St, Lafayette, LA 70501-8061 | 2020-02-04 |
| 1952872194 | Tfdc- Lafayette, LLC | Clinic/Center | 121 Rue Louis Xiv, Ste 2, Lafayette, LA 70508 | 2018-12-16 |
| 1407364730 | Vintage L Delahoussaye Dds Apdc | Clinic/Center | 1144 Coolidge Blvd Ste A, Lafayette, LA 70503-2622 | 2018-01-22 |
| Find all providers in LAFAYETTE | ||||
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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.