RELIABLE DENTURE CENTER (NPI# 1427341767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427341767 |
| Entity Type | Organization |
| Organization Name | RELIABLE DENTURE CENTER |
| Practice Address |
2370 E 37th Ave Lake Station IN 46405-2802 |
| Practice Telephone | 2199623000 |
| Practice Fax Number | 2199629371 |
| Mailing Telephone | 2199623000 |
| Mailing Fax Number | 2199629371 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |
| Authorized Official Name | RANDELL E POTTS (OWNER) |
| Authorized Official Telephone | 2199623000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2370 E 37TH AVE |
| City | LAKE STATION |
| State | IN |
| Zip Code | 46405-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518085992 | Nikki A Wargo Dds | Dentist | 2370 E 37th Ave, Lake Station, IN 46405 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245507748 | Melissa Goldsberry | Pharmacist | 9500 Central Avenue, Lake Station, IN 46405 | 2011-11-28 |
| 1336214493 | Civil City of Lake Station Ind | Ambulance | 1876 Fairview Ave, Lake Station, IN 46405 | 2006-11-22 |
| 1720511785 | Patience Tieri | Nurse Practitioner | 2490 Central Ave, Lake Station, IN 46405 | 2017-04-06 |
| 1982041893 | Nanette Lindesmith | Nurse Practitioner | 3304 Parkside Ave, Lake Station, IN 46405 | 2013-05-31 |
| 1639249212 | Maria Rosario Badar | Internal Medicine | 3820 Central Ave, Lake Station, IN 46405 | 2006-11-09 |
| 1972895647 | Northshore Health Centers, Inc. | Family Medicine | 3304 Parkside Ave, Lake Station, IN 46405-1143 | 2011-05-12 |
| 1215289186 | Kari Payton | Specialist/Technologist | 3304 Parkside Ave, Lake Station, IN 46405-1143 | 2012-10-02 |
| 1972637171 | Southlake Tricity Rba | Custodial Care Facility | 2075 Ripley St, Lake Station, IN 46405-1161 | 2007-03-16 |
| 1699043190 | Jennifer Marie Legg | Licensed Practical Nurse | 2075 Ripley St, Lake Station, IN 46405-1161 | 2011-12-12 |
| 1689994683 | Charlene Jackson | Licensed Practical Nurse | 2075 Ripley St, Lake Station, IN 46405-1161 | 2010-06-02 |
| Find all providers in zip 46405 | ||||
| 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 |
|---|---|---|---|---|
| 1689707796 | Richard Thomas Rosiecki | Dentist | 3101 Central Ave, Lake Station, IN 46405-2209 | 2007-03-14 |
| 1730284217 | Nicholas Bernard Cain | Dentist | 3099 Central Ave, Lake Station, IN 46405-2207 | 2006-09-13 |
| 1487160669 | Rebecca Thimothy | Dentist | 3099 Central Ave, Lake Station, IN 46405-2207 | 2017-12-24 |
| 1821436619 | Kathryn Elizabeth Ritchie | Dentist | 3099 Central Ave, Lake Station, IN 46405-2207 | 2013-06-13 |
| 1356530505 | Northshore Health Centers, Inc. | Dentist | 3099 Central Ave, Lake Station, IN 46405-2207 | 2007-10-23 |
| 1558450007 | Mathew Anthony Negrelli | Dentist | 3099 Central Ave, Lake Station, IN 46405-2207 | 2006-10-12 |
| 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 | LAKE STATION |
| Zip Code | 46405 |
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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.