DENTAL PROFESSIONALS OF INDIANA, P.C. (NPI# 1558573600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558573600 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF INDIANA, P.C. |
| Other Organization Name | TERRE HAUTE FAMILY DENTAL CARE |
| Practice Address |
3430 South Fourth St Terre Haute IN 47802 |
| Practice Telephone | 8122342644 |
| Practice Fax Number | 8122342645 |
| Mailing Telephone | 8122342644 |
| Mailing Fax Number | 8122342645 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | JENNIFER HOELSCHER (INSURANCE/CREDENTIALING) |
| 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 |
|---|---|
| Terre Haute Family Dental Care | 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 |
3430 SOUTH FOURTH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| 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 |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1922587351 | Terry J. Gilman, D.d.s. | Dentist | 3401 S 7th St, Terre Haute, IN 47802-4016 | 2018-08-07 |
| 1053852202 | Optim Dental -1 LLC | Dentist | 3353 S Us Highway 41 Unit 3369, Terre Haute, IN 47802-3727 | 2017-03-20 |
| 1750669388 | Grant Thomas Abernathey | Dentist | 4700bureau Rd S, Fcc Terre Haute Dental Unit, Terre Haute, IN 47802 | 2011-08-01 |
| 1134424930 | Carl A. Smudde | Dentist | 1608 Lafayette Ave, Terre Haute, IN 47804-2021 | 2011-01-26 |
| 1942501333 | Paul F. Zwerner II | Dentist | 1190 Maple Ave., Terre Haute, IN 47804-2939 | 2010-11-16 |
| 1962738898 | Philco Group LLC | Dentist | 3363 S Us Highway 41, Terre Haute, IN 47802-3727 | 2009-10-28 |
| 1174704860 | Jennifer Renee Duchane | Dentist | 3315 S 7th St, Terre Haute, IN 47802 | 2007-11-21 |
| 1144375239 | Aaron Matthew Luttrell | Dentist | 1649 S 6th St, Terre Haute, IN 47802-1608 | 2007-01-25 |
| 1679640940 | Robert Paul Bonness | Dentist | 3438 South 7th Street, Terre Haute, IN 47802-4017 | 2006-11-29 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
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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.