GREAT LAKES FAMILY DENTAL GROUP-MUNCIE, P.C. (NPI# 1437557345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437557345 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES FAMILY DENTAL GROUP-MUNCIE, P.C. |
| Practice Address |
1003 W. Mcgalliard Road Muncie IN 47303 |
| Practice Telephone | 7652881307 |
| Mailing Telephone | 7652881307 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |
| Authorized Official Name | MRS. PATRICIA J. HART (CORPORATE MANAGER) |
| Authorized Official Telephone | 8106252860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12012248A | IN | Dental Providers |
| Street Address |
1003 W. MCGALLIARD ROAD |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| 1093064339 | Suzanne Rae Reedy | Dentist | 2301 W. Jackson, Muncie, IN 47303 | 2012-08-31 |
| Find all providers in zip 47303 | ||||
| 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 |
|---|---|---|---|---|
| 1093064339 | Suzanne Rae Reedy | Dentist | 2301 W. Jackson, Muncie, IN 47303 | 2012-08-31 |
| 1902154248 | Southway Family Dentistry | Dentist | 3745 S Madison St, Muncie, IN 47302-5756 | 2012-08-16 |
| 1245559822 | Thomas Chase Cornils | Dentist | 2016 W Mcgalliard Rd, Muncie, IN 47304-2148 | 2010-05-22 |
| 1184859803 | John T Notarianni | Dentist | 1825 W Mcgalliard Rd, Muncie, IN 47304-2210 | 2009-05-26 |
| 1467612481 | The Dental Place | Dentist | 1804 W Mcgalliard Rd, Muncie, IN 47304-2209 | 2008-06-12 |
| 1659548139 | Allcare Dental & Dentures of In PC | Dentist | 613 E Mcgalliard Rd, Muncie, IN 47303-2066 | 2008-05-13 |
| 1477768026 | Suzanne R. Reedy, D.d.s., P.C. | Dentist | 2301 W Jackson St, Muncie, IN 47303-4733 | 2007-05-14 |
| 1326250325 | Jackson Family Dentistry | Dentist | 202 Reserve, Muncie, IN 47303 | 2007-05-04 |
| 1003038225 | Dental Professionals of Indiana, P.C. | Dentist | 1130 E Princeton Ave, Muncie, IN 47303 | 2007-05-03 |
| 1356565022 | Timothy Shane Williams | Dentist | 2915 N Oakwood Ave, Muncie, IN 47304-2255 | 2007-04-12 |
| Find all providers in MUNCIE | ||||
Please comment or provide details below to improve the information on GREAT LAKES FAMILY DENTAL GROUP-MUNCIE, P.C..
| 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.