PARIDHIE VASUDEVAN


Address: 6502 Grape Rd Ste 882, Mishawaka, IN 46545
Phone: 5749683719

PARIDHIE VASUDEVAN (NPI# 1699203612) 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) 1699203612
Entity Type Individual
Full Name PARIDHIE VASUDEVAN
Credential DMD
Practice Address 6502 Grape Rd Ste 882
Mishawaka
IN 46545
Mailing Address 6502 Grape Rd Ste 882
Mishawaka
IN 46545-1102
Practice Telephone 5749683719
Enumeration Date 2017-06-03
Last Update Date 2019-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
12013174A IN Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
22514 FL Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
14768 Biscayne Blvd, North Miami, FL 331811218 3059479001
6502 Grape Rd Ste 882, Mishawaka, IN 46545 5749683719

Office Location

Street Address 6502 GRAPE RD STE 882
City MISHAWAKA
State IN
Zip Code 46545

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NPI Name Taxonomy Address Enumeration
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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
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
1497095343 April Lynn Root Dietitian, Registered St. Joseph County Va Clinic, 1540 Trinity Place, Mishawaka, IN 46545 2013-02-28
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467067819 Hewlett Zaremba LLC Dentist 309 N Bittersweet Rd # 105, Mishawaka, IN 46544-4220 2020-09-12
1306339072 Mushira Ali Dentist 112 Ironworks Ave Ste B1, Mishawaka, IN 46544-2057 2018-06-07
1225417017 James M. Burkart Family Dentistry Dentist 13432 Mckinley Hwy, Mishawaka, IN 46545-7447 2015-05-26
1386980134 Ann Tawadros Dentist 544 Lincolnway W, Mishawaka, IN 46544-1844 2012-12-26
1194052183 Jeffrey S. Feltzer, Dmd, P.C. Dentist 518 Lincolnway W, Mishawaka, IN 46544-1807 2009-11-11
1356586382 Adoni Dental PC Dentist 4170 Grape Rd, Mishawaka, IN 46545-2610 2008-12-04
1730333097 Matthew Steele Brennan Dentist 330 Park Pl, Mishawaka, IN 46545-3555 2008-11-12
1902017593 South Bend Smiles Youth Dentistry, LLC Dentist 2332 Miracle Ln, Mishawaka, IN 46545-3012 2007-05-24
1922218858 Terry L Cunningham Dentist 1902 N Main St, Mishawaka, IN 46545-5614 2007-05-22
1295940518 The Dental Center of Mishawaka PC Dentist 112 Ironworks Ave, Mishawaka, IN 46544-2057 2007-05-11
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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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