SANDERSWEDDELLPEDIATRIC DENTALSPECIALIST (NPI# 1700949724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700949724 |
| Entity Type | Organization |
| Organization Name | SANDERSWEDDELLPEDIATRIC DENTALSPECIALIST |
| Practice Address |
860 East 86th Street Suite1 Indianapolis IN 46240-6859 |
| Practice Telephone | 3175752899 |
| Practice Fax Number | 3175752898 |
| Mailing Telephone | 3175752899 |
| Mailing Fax Number | 3175752898 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-10-02 |
| Authorized Official Name | JAMES A WEDDELL (PARTNER) |
| Authorized Official Telephone | 3175752899 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
860 EAST 86TH STREET SUITE1 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46240-6859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
| 1184148892 | Hannah Hoyt | Specialist/Technologist | 9504 N. Washington Blvd, Indianapolis, IN 46240 | 2017-08-03 |
| 1134657455 | Donann Kissick | Speech-Language Pathologist | 450 E 96th St., Suite 500, Indianapolis, IN 46240 | 2017-05-31 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1871934513 | Kayla Harpenau | Occupational Therapist | 7405 Westfield Blvd, Indianapolis, IN 46240 | 2013-07-10 |
| 1235483835 | Christina Marie Wilson | Nurse Practitioner | 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 | 2012-11-04 |
| 1770850927 | Holly Bergeron | Pharmacist | 1505 E 86th Street, Indianapolis, IN 46240 | 2011-11-16 |
| 1104128214 | Meghan Kyle Fricke | Physician Assistant | 860 E 86th St Ste 4, Indianapolis, IN 46240 | 2010-11-22 |
| 1689901118 | Katherine Jane Russell | Audiologist | 2001 W. 86th St., Indianapolis, IN 46240 | 2009-11-04 |
| Find all providers in zip 46240 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194245225 | Sara Gholam | Dentist | 1121 W Michigan St Rm 280b, Indianapolis, IN 46202 | 2017-06-20 |
| 1629443544 | Allison C Scully | Dentist | 1121 W Michigan Street Ds307b, Indianapolis, IN 46202-5186 | 2015-12-03 |
| 1346535010 | Scott D. Papineau | Dentist | 7725 S Emerson Ave, Indianapolis, IN 46237-8654 | 2011-06-10 |
| 1376837070 | Steele Pediatric Dentistry LLC | Dentist | 4509 Northeastern Ave, Indianapolis, IN 46239-1660 | 2011-05-31 |
| 1124151592 | Judith Renee Chin | Dentist | 1121 W Michigan St # Ds220, Indiana University School of Dentistry, Indianapolis, IN 46202-5211 | 2007-03-14 |
| 1437280526 | David Scott Morgan | Dentist | 8802 N Meridian St, Suite 101, Indianapolis, IN 46260-5318 | 2007-03-08 |
| 1952477846 | Annette Tepner Farthing | Dentist | 7725 S Emerson Avenue, Indianapolis, IN 46237-8654 | 2006-11-24 |
| 1881769602 | James A. Weddell Dds,msd,pc | Dentist | 3737 North Meridian, Suite 100, Indianapolis, IN 46208-4357 | 2006-11-21 |
| 1811062664 | Kelli R Lucia | Dentist | 3737 North Meridian Street, Suite 100, Indianapolis, IN 46208-4357 | 2006-11-21 |
| 1124193974 | Swati Singh | Dentist | 9240 N Meridian St Ste 120, Indianapolis, IN 46260-1811 | 2006-11-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46240 |
Please comment or provide details below to improve the information on SANDERSWEDDELLPEDIATRIC DENTALSPECIALIST.
| 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.