HEWITT DENTAL GROUP OF GOSHEN, LTD. (NPI# 1700114261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700114261 |
| Entity Type | Organization |
| Organization Name | HEWITT DENTAL GROUP OF GOSHEN, LTD. |
| Practice Address |
211 E Madison St Goshen IN 46526-3427 |
| Mailing Address |
Po Box 806 Middlebury IN 46540-0806 |
| Practice Telephone | 5745348777 |
| Mailing Telephone | 5742298180 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |
| Authorized Official Name | DR. SCOTT HEWITT (PRESIDENT) |
| Authorized Official Telephone | 5745323085 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12007801A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100222340 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | HEWITT DENTAL GROUP OF GOSHEN, LTD. | 622 W Lincoln Ave, Goshen, IN 46526 |
| Street Address |
211 E MADISON ST |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| 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 |
|---|---|---|---|---|
| 1518410117 | Daniel Paul Joldersma | Dentist | 604 Auston Ct, Goshen, IN 46526-1565 | 2016-07-31 |
| 1356516348 | Paul Elliott Keller | Dentist | 1934 W Lincoln Ave, Goshen, IN 46526-5907 | 2008-04-29 |
| 1922216225 | Tomas Aler Torres Jr. | Dentist | 29 St John St, Goshen, NY 10924-1518 | 2007-05-18 |
| 1821205287 | Cheryl L Carlton- Deal | Dentist | 1625 Sunnyfield Dr, Goshen, IN 46526-9264 | 2007-05-16 |
| 1649491960 | Gene A. Stutsman | Dentist | 1801 Charlton Ct, Goshen, IN 46526-6464 | 2007-05-02 |
| 1790807949 | Merwin Russell Jones IIi | Dentist | 6782 Goshen Road, Goshen, OH 45122 | 2007-04-06 |
| 1336264423 | Todd Samuel Wyse | Dentist | 57250 Alpha Dr, Goshen, IN 46528-7804 | 2007-03-20 |
| 1265585319 | Linda Anne Burns | Dentist | 1213 E Lincoln Ave, Goshen, IN 46528-3123 | 2007-01-20 |
| 1447318761 | Michael Lynn Beachy | Dentist | 1802 Charlton Ct, Goshen, IN 46526-6463 | 2006-12-06 |
| 1801978127 | Douglas A Stanley | Dentist | 1213 W Lincoln Ave, Goshen, IN 46526-2130 | 2006-10-19 |
| Find all providers in GOSHEN | ||||
Please comment or provide details below to improve the information on HEWITT DENTAL GROUP OF GOSHEN, LTD..
| 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.