MINI DENTAL IMPLANT CENTERS OF AMERICA LLC (NPI# 1699033944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699033944 |
| Entity Type | Organization |
| Organization Name | MINI DENTAL IMPLANT CENTERS OF AMERICA LLC |
| Practice Address |
2001 S Tiger Drive Yorktown IN 47396 |
| Practice Telephone | 7657598351 |
| Practice Fax Number | 7657598749 |
| Mailing Telephone | 7657598351 |
| Mailing Fax Number | 7657598749 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | STEPHEN J GANT (DENTIST) |
| Authorized Official Telephone | 7657598351 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | YORKTOWN FAMILY DENTISTRY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12007237 | IN | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MINI DENTAL IMPLANT CENTERS OF AMERICA LLC | 2001 South Tiger Drive, Yorktown, IN 47396 |
| Street Address |
2001 S TIGER DRIVE |
| City | YORKTOWN |
| State | IN |
| Zip Code | 47396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679979041 | Quad/med, LLC | Clinic/Center | 2005 S Tiger Dr, Yorktown, IN 47396 | 2014-11-13 |
| 1306802087 | Andrew Blake Wagner | Physical Therapist | 7701 West Kilgore, Ste 1a, Yorktown, IN 47396 | 2006-04-22 |
| 1992008742 | Roberta Vernice Reichenbach | Nurse Practitioner | 9730 W Smith St, Yorktown, IN 47396-1199 | 2010-12-17 |
| 1770837965 | Yorktown Community Schools | Local Education Agency (LEA) | 2311 S Broadway St, Yorktown, IN 47396-1200 | 2012-11-09 |
| 1467643817 | Lisa Michelle Kattner | Counselor | 9010 W Smith St, Suite 2, Yorktown, IN 47396-1313 | 2007-08-08 |
| 1801921150 | Mt Pleasant Twp Comm Sch | Local Education Agency (LEA) | 8800 W Smith St, Yorktown, IN 47396-1332 | 2007-02-23 |
| 1518094119 | Tiffany L Stinson | Physical Therapist | 2213 S Sisk Dr, Yorktown, IN 47396-1443 | 2007-02-28 |
| 1730392986 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 2000 S Andrews Rd, Yorktown, IN 47396-6812 | 2007-05-07 |
| 1275572646 | The Waters of Yorktown, LLC | Skilled Nursing Facility | 2000 S. Andrews Road, Yorktown, IN 47396-6812 | 2006-06-04 |
| 1194229443 | Morgan Paige Fisher | Speech-Language Pathologist | 2000 S Andrews Rd, Yorktown, IN 47396-6812 | 2018-03-21 |
| Find all providers in zip 47396 | ||||
| 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 |
|---|---|---|---|---|
| 1770017626 | Aaron J Iverson Dds, Pllc | Dentist | 6632 George Washington Mem Hwy, Yorktown, VA 23692-4801 | 2017-04-18 |
| 1871030502 | Hampton Roads Dental Group | Dentist | 3120 Kiln Creek Pkwy Ste I, Yorktown, VA 23693-5648 | 2017-01-19 |
| 1154705556 | Jane Masood | Dentist | 107 Karley Pl, Yorktown, VA 23692-5716 | 2015-07-15 |
| 1508261827 | Dr. Scott J. Golrich | Dentist | 4030 George Washington Mem Hwy, Ste A, Yorktown, VA 23692-2619 | 2014-10-29 |
| 1356406920 | Laurence Allen Warren | Dentist | 106 Yorktown, Yorktown, VA 23693 | 2006-12-26 |
| 1497821110 | Wayne Ernest Booker | Dentist | 6632 George Washington Memorial Highway, Yorktown, VA 23692-4801 | 2006-11-27 |
| 1912947094 | Perry L Showalter | Dentist | 4326 George Washington Memorial Highway, Yorktown, VA 23692 | 2006-06-07 |
| 1437126414 | Michael Warren Bowler | Dentist | 4310 George Washington Mem Hwy, Yorktown, VA 23692-2880 | 2006-03-08 |
| 1578956793 | Yorktown Dental, Pllc | Dentist | 4326 George Washington Mem Hwy, Yorktown, VA 23692-2707 | 2015-03-12 |
| 1902202047 | Yorkshire Family Dentistry, PC | Dentist | 3212 Hampton Hwy Ste A, Yorktown, VA 23693-4948 | 2014-11-18 |
| Find all providers in YORKTOWN | ||||
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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.