ALPHA DENTURE CENTER, INC. (NPI# 1396718185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396718185 |
| Entity Type | Organization |
| Organization Name | ALPHA DENTURE CENTER, INC. |
| Practice Address |
6845 Parkdale Pl Suite A Indianapolis IN 46254-5618 |
| Practice Telephone | 3172801211 |
| Mailing Telephone | 3172801211 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAUL A. PANGALLO (DENTIST) |
| Authorized Official Telephone | 3172801211 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
#6629A | IN | Dental Providers |
| Street Address |
6845 PARKDALE PL SUITE A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-5618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962857367 | Always At Home | In Home Supportive Care | 6845 Parkdale Pl, Suite C, Indianapolis, IN 46254-5618 | 2016-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962068502 | Karina Pezo Shirley | Dentist | 2001 W Washington St Ste B2, Indianapolis, IN 46222-4549 | 2019-05-18 |
| 1275039497 | Julianne Manzo Sotomil | Dentist | 1121 W Michigan St # S312, Indianapolis, IN 46202-5211 | 2018-04-05 |
| 1447638648 | Kamolphob Phasuk | Dentist | 1121 W Michigan St Rm 313, Indianapolis, IN 46202-5521 | 2015-05-08 |
| 1770994238 | Ankit Patel | Dentist | 5770 Noble Dr, Indianapolis, IN 46234-7725 | 2014-05-17 |
| 1053415414 | Fildent Inc | Dentist | 6202 Broadway St, Indianapolis, IN 46220 | 2006-09-07 |
| 1922647114 | Meenarin Panittaveekul | Dentist | 1121 W Michigan St, Indianapolis, IN 46202-5211 | 2020-01-06 |
| 1497235238 | Chao-chieh Yang | Dentist | 1121 W Michigan St, Indianapolis, IN 46202-5211 | 2018-08-21 |
| 1265925663 | Elana Laks | Dentist | 1121 W Michigan St, Indianapolis, IN 46202-5211 | 2018-06-11 |
| 1780965061 | Indianapolis Dental Center LLC | Dentist | 8445 S Emerson Ave, Suite 101, Indianapolis, IN 46237-9596 | 2011-08-31 |
| 1407168636 | Wei-shao Lin | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2010-07-02 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
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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.