THE DENTURE PLACE, INC. (NPI# 1770696486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770696486 |
| Entity Type | Organization |
| Organization Name | THE DENTURE PLACE, INC. |
| Practice Address |
5 Excutive Dr Flora IN 47905 |
| Mailing Address |
1860 E Oak St Flora IN 46929-1446 |
| Practice Telephone | 7654472322 |
| Practice Fax Number | 7654476243 |
| Mailing Telephone | 5749674425 |
| Mailing Fax Number | 5749674400 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GORDON D WAGONER (PRESIDENT) |
| Authorized Official Telephone | 5749674425 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7943 | IN | Dental Providers |
| Street Address |
5 EXCUTIVE DR |
| City | FLORA |
| State | IN |
| Zip Code | 47905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| 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 |
|---|---|---|---|---|
| 1992914907 | Jerry W Eckart | Dentist | 1860 E Oak St, Flora, IN 46929-1446 | 2007-05-22 |
| 1689897555 | Steven Lawrence Herr | Dentist | 607 W Columbia St, Flora, IN 46929-9212 | 2007-04-10 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1235286493 | J Calvin Wilson | Dentist | 317 E North Ave, Flora, IL 62839-2040 | 2007-01-03 |
| 1831251313 | Brian Wagoner | Dentist | 17 S Division St, Flora, IN 46929-1335 | 2006-12-14 |
| 1962579581 | Harry W Jones | Dentist | 905 E Columbia St, Flora, IN 46929-1414 | 2006-11-29 |
| 1215047717 | Clinton Harlan Whittington II | Dentist | 4856 Main St, Flora, MS 39071-1701 | 2006-08-30 |
| 1528042801 | Brad Anthony Franklin | Dentist | 106 Central Blvd, Flora, MS 39071-8003 | 2005-12-01 |
| 1215922018 | Stephen W. Barber | Dentist | 232 E 2nd St, Flora, IL 62839-2003 | 2005-09-18 |
| 1144696410 | Hari Priya Anne | Dentist | 501 N Main St, Flora, IL 62839-1405 | 2015-08-20 |
| Find all providers in FLORA | ||||
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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.