DENTAL PROFESSIONALS OF INDIANA, P.C. (NPI# 1467674978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467674978 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF INDIANA, P.C. |
| Other Organization Name | EAGLE CREEK DENTAL ASSOCIATES |
| Practice Address |
6920 Parkdale Place Suite 111 Indianapolis IN 46254 |
| Practice Telephone | 3173297170 |
| Practice Fax Number | 3173297372 |
| Mailing Telephone | 3173297170 |
| Mailing Fax Number | 3173297372 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | JENNIFER HOELSCHER (INS COOD) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF INDIANA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Eagle Creek Dental Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027609 | Dental Professionals of Indiana, P.C. | Dentist | 415 Waterfall Dr Ste A, Elkhart, IN 46516-3660 | 2020-03-11 |
| 1538686555 | Dental Professionals of Indiana, P.C. | Dentist | 7103 Whitestown Pkwy, Zionsville, IN 46077-7626 | 2017-08-30 |
| 1073030979 | Dental Professionals of Indiana, P.C. | Dentist | 7103 Whitestown Parkway, Whitestown, IN 46075 | 2017-08-23 |
| 1114130432 | Dental Professionals of Indiana, P.C. | Dentist | 2362 W Blvd, Suite B, Kokomo, IN 46902 | 2007-05-07 |
| 1013139542 | Dental Professionals of Indiana, P.C. | Dentist | 2362 West Blvd, Suite A, Kokomo, IN 46902 | 2007-05-03 |
| 1376765503 | Dental Professionals of Indiana, P.C. | Dentist | 5250 Us Hwy 36, Suite 160, Avon, IN 46123 | 2007-05-03 |
| 1881816007 | Dental Professionals of Indiana, P.C. | Dentist | 103 Osceola Ave, Osceola, IN 46561 | 2007-05-03 |
| 1306058417 | Dental Professionals of Indiana, P.C. | Dentist | 1515 W 45th Ave, Griffith, IN 46319 | 2007-05-03 |
| 1881816320 | Dental Professionals of Indiana, P.C. | Dentist | 1516 Lynch Lane, Ste A, Clarksville, IN 47129 | 2007-05-03 |
| 1154543635 | Dental Professionals of Indiana, P.C. | Dentist | 8079 Madison St, Merrillville, IN 46410-5465 | 2007-05-03 |
| Street Address |
6920 PARKDALE PLACE SUITE 111 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922049360 | Thomas Dascoli | Family Medicine | 6920 Parkdale Place, Suite 106, Indianapolis, IN 46254-5604 | 2006-06-09 |
| 1912426461 | Indiana Neurology and Pain Center LLC | Psychiatry & Neurology | 6920 Parkdale Place, Suite 215, Indianapolis, IN 46254 | 2017-09-15 |
| 1194837575 | Krista I Santos | Pediatrics | 6920 Parkdale Place, Suite 109, Indianapolis, IN 46254 | 2006-08-31 |
| 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 | 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 |
|---|---|---|---|---|
| 1770194698 | Dental Professionals of In, P.C. | Dentist | 8570 Northwest Blvd, Indianapolis, IN 46278-1383 | 2020-08-13 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1932766508 | Brooke Nichole Scott | Dentist | 5501 E 71st St Ste 3, Indianapolis, IN 46220-3900 | 2019-05-20 |
| 1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
| 1639652126 | Gh Dental | Dentist | 6925 S Harding St Ste A, Indianapolis, IN 46217-4114 | 2018-09-11 |
| 1326533068 | Bryce Ashton Chambers | Dentist | 6010 W 86th St Ste 118, Indianapolis, IN 46278-1407 | 2018-06-26 |
| 1932694528 | Mfdc of Indiana, Inc | Dentist | 6225 W 56th St Ste 100, Indianapolis, IN 46254-0002 | 2018-06-26 |
| 1306331905 | Mfdc of Indiana, Inc | Dentist | 5935 S Emerson Ave Ste 200, Indianapolis, IN 46237-1975 | 2018-06-26 |
| 1376037853 | Decatur Family Dentistry LLC | Dentist | 5021 Kentucky Ave Ste G, Indianapolis, IN 46221-3650 | 2018-06-19 |
| 1215420252 | Wesley Kenn Burcham | Dentist | 1481 W 10th St # 160, Indianapolis, IN 46202 | 2018-06-13 |
| 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.