DR. STEPHEN ANDREW TRAGER (NPI# 1669555454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669555454 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN ANDREW TRAGER |
| Credential | DDS |
| Practice Address |
5915 West State Road 46 Ellettsville IN 47429 |
| Mailing Address |
5300 W Brookwood Ct Bloomington IN 47404-9601 |
| Practice Telephone | 8128767330 |
| Practice Fax Number | 8128767325 |
| Mailing Telephone | 8123457117 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12010793A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437163359 | Stephen A Trager | Dentist | 516 Vischer Ferry Rd, Clifton Park, NY 12065-1656 | 2006-07-28 |
| Street Address |
5915 WEST STATE ROAD 46 |
| City | ELLETTSVILLE |
| State | IN |
| Zip Code | 47429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306260823 | Sarah Lock | Physical Therapist | 5911 West State Road 46, Ellettsville, IN 47429 | 2014-02-05 |
| 1093085136 | Kayla Mason | Occupational Therapist | 5911 W State Rd 46, Ellettsville, IN 47429 | 2012-01-06 |
| 1760539704 | Kenneth Louis Guzik | Chiropractor | 403 W Temperance St, Box 605, Ellettsville, IN 47429 | 2007-01-04 |
| 1104910983 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 1922 Limestone Drive, Ellettsville, IN 47429 | 2006-10-03 |
| 1164788410 | Danielle Haines | Physical Therapy Assistant | 5911 W State Rd 46, Ellettsville, IN 47429 | 2012-04-11 |
| 1982990594 | Steven William Bollinger | Dentist | 5915 W. Highway 46, Ellettsville, IN 47429-0518 | 2011-06-22 |
| 1508968728 | David C Compton | Dentist | 5915 West Highway 46, Ellettsville, IN 47429-0518 | 2006-09-01 |
| 1063515914 | Ellettsville Dental Center, Inc. | Dentist | 5915 West Highway 46, Ellettsville, IN 47429-0518 | 2006-09-06 |
| 1467660878 | Richland Bean Blossom Community School Corporaton | Local Education Agency (LEA) | 600 Edgewood Dr, Ellettsville, IN 47429-1134 | 2007-05-18 |
| 1851459002 | Area 10 Agency On Aging Rural Transit | Non-emergency Medical Transport (VAN) | 630 Edgewood Dr, Ellettsville, IN 47429-1134 | 2006-12-04 |
| Find all providers in zip 47429 | ||||
| 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 |
|---|---|---|---|---|
| 1023615796 | Himabindu Gogeneni | Dentist | 3575 Portage Ave Ste A, South Bend, IN 46628-6092 | 2020-10-06 |
| 1770193591 | Urgent Dental Center Sw LLC | Dentist | 2907 Kentucky Ave Ste A, Indianapolis, IN 46221-2103 | 2020-08-06 |
| 1134737026 | Gelsy Calvo Hernandez | Dentist | 1519 Us Highway 41 Ste B8, Schererville, IN 46375-1373 | 2020-07-17 |
| 1508483611 | Monica Vance | Dentist | 1711 S State Road 135 Ste B, Greenwood, IN 46143-6481 | 2020-07-06 |
| 1265059828 | Yuen Ting Chan | Dentist | 5240 Franklin St, Michigan City, IN 46360-7372 | 2020-06-30 |
| 1962028829 | Knobs Damily Dental, LLC | Dentist | 3684 Us-150 #9, Floyds Knobs, IN 47119 | 2020-06-17 |
| 1962026948 | Maria Contreras Mantilla | Dentist | 1320 W Bloomfield Rd, Bloomington, IN 47403-2001 | 2020-06-04 |
| 1801410931 | Briana Michelle Maddox | Dentist | 35 S Creasy Ln Ste 3, Lafayette, IN 47905-5254 | 2020-06-04 |
| 1639793870 | Bryan Schmidt | Dentist | 1639 North Cass St, Wabash, IN 46992 | 2020-06-03 |
| 1861027732 | Kendall Thomas Sands | Dentist | 508 Indiana Ave # 3106, Indianapolis, IN 46202-3106 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
| City | ELLETTSVILLE |
| Zip Code | 47429 |
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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.