CHARLESTOWN ROAD DENTAL, LLC (NPI# 1699958850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699958850 |
| Entity Type | Organization |
| Organization Name | CHARLESTOWN ROAD DENTAL, LLC |
| Practice Address |
3739 Charlestown Rd New Albany IN 47150-9576 |
| Practice Telephone | 8129448756 |
| Mailing Telephone | 8129448756 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |
| Authorized Official Name | DR. JOHN ISSAC MASON (OWNER) |
| Authorized Official Telephone | 5026365492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
3739 CHARLESTOWN RD |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-9576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346595121 | Sanghee Chon | Dentist | 3739 Charlestown Rd, New Albany, IN 47150 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144700543 | Dr. Zainab Temitope Adesanya, Dmd, LLC | Dentist | 5040 Forest Dr Ste 220, New Albany, OH 43054-8167 | 2018-08-16 |
| 1821586744 | Sarah Elizabeth Sukhorukov | Dentist | 2441 State St Ste 1, New Albany, IN 47150-4962 | 2018-04-26 |
| 1669869921 | M. Alexandrunas, Dmd-dental 1, Inc. | Dentist | 7365 Milton Ct, New Albany, OH 43054-9038 | 2015-04-23 |
| 1225444789 | Courtney Lambring | Dentist | 5104 Charlestown Rd, New Albany, IN 47150-9429 | 2014-07-05 |
| 1972913200 | Dr. Timothy J. Backiewicz, D.d.s., Inc. | Dentist | 68 N. High St., Building F, New Albany, OH 43054 | 2014-05-08 |
| 1265661466 | Ronald Lee Netter Jr. | Dentist | 3819 Charlestown Rd, New Albany, IN 47150-9562 | 2009-07-08 |
| 1487893145 | New Albany Dental Care LLC | Dentist | 338 Erni Ave, New Albany, IN 47150-4176 | 2009-02-19 |
| 1053508622 | Jessica H Perkins | Dentist | 212 Oxford Rd, New Albany, MS 38652-3115 | 2007-09-27 |
| 1902091978 | Marcus Karl Mercier | Dentist | 196 Starlyn Ave, New Albany, MS 38652-2436 | 2007-09-12 |
| 1528263159 | Kelton W Mcclinton | Dentist | 218a Oxford Rd, New Albany, MS 38652-3115 | 2007-06-14 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
Please comment or provide details below to improve the information on CHARLESTOWN ROAD DENTAL, LLC.
| 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.