ASSOCIATED DENTISTS OF NORTHWEST INDIANA PC (NPI# 1588703250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588703250 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED DENTISTS OF NORTHWEST INDIANA PC |
| Practice Address |
500 West Lincoln Hwy Suite N Merrillville IN 46410 |
| Practice Telephone | 2197696444 |
| Practice Fax Number | 2197554790 |
| Mailing Telephone | 2197696444 |
| Mailing Fax Number | 2197554790 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS MATILDA PEREZ (OFFICE MANAGER PRESIDENT) |
| Authorized Official Telephone | 2197696444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
12009309A | IN | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
12008668A | IN | Dental Providers |
| Street Address |
500 WEST LINCOLN HWY SUITE N |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740441609 | Theodoros Aneziris | Dentist | 8679 Connecticut St, Suite C, Merrillville, IN 46410-6386 | 2008-06-23 |
| 1013041979 | Harry Gene Frank | Dentist | 8679 Connecticut St, Suite C, Merrillville, IN 46410-6386 | 2007-03-15 |
| 1134252364 | Mark David Magura | Dentist | 8679 Connecticut St, Suite C, Merrillville, IN 46410-6386 | 2007-03-14 |
| 1811020951 | Robert Alan Corns | Dentist | 8679 Connecticut St, Suite C, Merrillville, IN 46410-6386 | 2007-03-14 |
| 1295867687 | Endodontics Inc | Dentist | 8679 Connecticut Street, Suite C, Merrillville, IN 46410 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954913 | Adam B Broady Dds Msd & Associates LLC | Dentist | 9002 N Meridian St Ste 201, Indianapolis, IN 46260-5350 | 2020-05-28 |
| 1891322558 | Core Endodontics | Dentist | 2206 State St Ste 100, New Albany, IN 47150-4952 | 2020-03-24 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1356816037 | West Indy Pippin Dental PC | Dentist | 8252 Rockville Rd, Indianapolis, IN 46214-3113 | 2018-10-09 |
| 1992299689 | East Washington Street Dental Indy, In, PC | Dentist | 9972 E Washington St, Indianapolis, IN 46229-3040 | 2018-06-18 |
| 1962940254 | Dcp of Indiana (castleton Square), P.C. | Dentist | 17535 Terry Lee Crossing, 200-b, Noblesville, IN 46060-2476 | 2017-02-07 |
| 1447559166 | Kool Smiles In-3, PC | Dentist | 3701 S Main St Ste A150, Elkhart, IN 46517-3140 | 2011-03-21 |
| 1780983726 | Kool Smiles In-3, PC | Dentist | 4315 Commerce Dr, Suite 310, Lafayette, IN 47905-3822 | 2011-03-16 |
| 1306072814 | Ashleigh Marie Rexford | Dentist | 3750 Guion Rd Ste 280, Indianapolis, IN 46222-1696 | 2009-06-10 |
| 1588810980 | Northside Endodontics, PC | Dentist | 1400 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2008-08-18 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on ASSOCIATED DENTISTS OF NORTHWEST INDIANA PC.
| 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.