OAK RIDGE DENTAL & SURGERY, LLC (NPI# 1720556749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720556749 |
| Entity Type | Organization |
| Organization Name | OAK RIDGE DENTAL & SURGERY, LLC |
| Practice Address |
5815 Calumet Ave Hammond IN 46320-2352 |
| Practice Telephone | 2192853016 |
| Mailing Telephone | 2192853016 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| Authorized Official Name | DR. MUZAFFAR M SHAH-KHAN (CEO/OWNER) |
| Authorized Official Telephone | 2192853016 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | OAK RIDGE DENTAL & SURGERY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
5815 CALUMET AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46320-2352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
| 1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
| 1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
| 1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
| 1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
| 1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| Find all providers in zip 46320 | ||||
| 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 |
|---|---|---|---|---|
| 1831685346 | James Davis Schneider | Dentist | 1109 C M Fagan Dr Ste P, Hammond, LA 70403-5973 | 2018-07-09 |
| 1992183420 | Morgan Habetz | Dentist | 1109 C M Fagan Dr, Unit P, Hammond, LA 70403-5973 | 2015-05-17 |
| 1801197868 | United Dental Centers | Dentist | 5254 Hohman Ave, Hammond, IN 46320-1722 | 2010-11-08 |
| 1376863373 | Hammond Dental Group | Dentist | 6414 Calumet Ave, A, Hammond, IN 46324-1207 | 2010-06-02 |
| 1598997553 | Meghan Pritchett Duplechin | Dentist | 800 C M Fagan Dr., Suite A, Hammond, LA 70403 | 2009-08-10 |
| 1184863466 | Daniel Erwin Walth | Dentist | 979 Davis St., Hammond, WI 54015 | 2009-02-11 |
| 1891944609 | Reena Oza | Dentist | 800 Cm Fagan Dr., Suite A, Hammond, LA 70401 | 2008-09-17 |
| 1518970193 | Charles K Sherman | Dentist | 2102 Rue Simone, Hammond, LA 70403 | 2006-08-14 |
| 1063449684 | Joel Trion Harris | Dentist | 1403 Derek Dr, Hammond, LA 70403-5768 | 2006-06-27 |
| 1740897404 | Concord Family Dental | Dentist | 910 W Thomas St, Hammond, LA 70401-3038 | 2020-09-28 |
| Find all providers in HAMMOND | ||||
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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.