JENNIFER CORONADO SITJAR (NPI# 1588926125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588926125 |
| Entity Type | Individual |
| Full Name | JENNIFER CORONADO SITJAR |
| Credential | D.D.S. |
| Practice Address |
4170 Grape Road Mishawaka IN 46545 |
| Practice Telephone | 5742724200 |
| Mailing Telephone | 5742724200 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12011808A | IN | Dental Providers |
| Street Address |
4170 GRAPE ROAD |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1518220946 | Transitions Dental Company | Dentist | 6502 Grape Rd, Suite 882, Mishawaka, IN 46545-1102 | 2012-06-20 |
| 1407075138 | William Brian Coulter | Dentist | 325 Park Pl, Mishawaka, IN 46545-3556 | 2007-04-24 |
| 1578781001 | David P Pflum | Dentist | 812 W Edison Rd, Mishawaka, IN 46545-2744 | 2007-04-22 |
| 1477674224 | Mahlon Gilbert Eberhart | Dentist | 544 Lincoln Way W, Mishawaka, IN 46544-1844 | 2007-04-02 |
| 1083739288 | Thomas G Rykovich | Dentist | 1201 Lincoln Way W, Mishawaka, IN 46544 | 2007-03-20 |
| 1902930555 | Szabo Family Dentistry | Dentist | 2424 E 5th St, Mishawaka, IN 46544-3422 | 2007-03-15 |
| 1760527592 | Affiliated Family Dentists PC | Dentist | 605 W Douglas Road, Mishawaka, IN 46545 | 2007-02-20 |
| 1801933759 | Julie Ann Jarvis | Dentist | 54665 Windingbrook Dr, Mishawaka, IN 46545-1545 | 2007-01-31 |
| 1902958036 | Richard Michael Dziak | Dentist | 605 W Douglas Rd, Mishawaka, IN 46545-1438 | 2007-01-17 |
| Find all providers in MISHAWAKA | ||||
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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.