POPOVICH DENTAL CORPORATION (NPI# 1750660221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750660221 |
| Entity Type | Organization |
| Organization Name | POPOVICH DENTAL CORPORATION |
| Practice Address |
223 S Court St Crown Point IN 46307-3951 |
| Practice Telephone | 2196630252 |
| Practice Fax Number | 2196633249 |
| Mailing Telephone | 2196630252 |
| Mailing Fax Number | 2196633249 |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |
| Authorized Official Name | DR. JAMES GABRIEL POPOVICH (CEO) |
| Authorized Official Telephone | 2196630252 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 12006634 | IN | Dental Providers |
| Y | 122300000X | Dentist | 12010460A | IN | Dental Providers |
| Street Address |
223 S COURT ST |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-3951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629287115 | James Gabriel Popovich | Dentist | 223 S Court St, Crown Point, IN 46307-3951 | 2007-05-21 |
| 1871795435 | Natalie Joan Popovich | Dentist | 223 S Court St, Crown Point, IN 46307-3951 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| 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 |
|---|---|---|---|---|
| 1346800463 | B and B Dental Group, LLC D/b/a Kessler Family Dental and Associates | Dentist | 9161 E 109th Ave, Crown Point, IN 46307-8677 | 2019-06-20 |
| 1255889788 | Derek Robert Berquist | Dentist | 11059 Broadway, Suite B, Crown Point, IN 46307-8834 | 2016-09-13 |
| 1699186148 | Guy Hugh Janssen | Dentist | 1889 Orchard Ct, Crown Point, IN 46307-1094 | 2014-05-17 |
| 1003045444 | Rita G. Patel-miller | Dentist | 102 E 107th Ave, Crown Point, IN 46307 | 2009-07-07 |
| 1497910574 | Advanced Dental Care (crown Point) P.C. | Dentist | 11055 Broadway, Suite E, Crown Point, IN 46307-9177 | 2008-07-28 |
| 1861669905 | Kristin J Collard | Dentist | 1 Professional Ctr Ste 206, 2100 North Main Street, Crown Point, IN 46307-1882 | 2008-05-08 |
| 1861549446 | Ralph T. Rucinski | Dentist | 950 S Court St, Crown Point, IN 46307-4848 | 2007-01-04 |
| 1871519777 | Jerry Edward Lambert Jr. | Dentist | 301 S Court St, Crown Point, IN 46307 | 2006-07-14 |
| 1669415063 | Philip G. Polus | Dentist | 1549 S Court St, Crown Point, IN 46307-4809 | 2006-06-14 |
| 1164077046 | Elias A Macis | Dentist | 9161 E 109th Ave, Crown Point, IN 46307-8677 | 2019-08-07 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
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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.