JENNIFER CORONADO SITJAR


Address: 4170 Grape Road, Mishawaka, IN 46545
Phone: 5742724200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 12011808A IN Dental Providers

Office Location

Street Address 4170 GRAPE ROAD
City MISHAWAKA
State IN
Zip Code 46545

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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
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City MISHAWAKA
Zip Code 46545

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Dataset Information

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.

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