ETHOS DENTAL GROUP L.L.C. (NPI# 1770976433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770976433 |
| Entity Type | Organization |
| Organization Name | ETHOS DENTAL GROUP L.L.C. |
| Practice Address |
1934 45th Street Munster IN 46321 |
| Mailing Address |
1311 Bemis Heights Ave Schererville IN 46375-3054 |
| Practice Telephone | 2195953432 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |
| Authorized Official Name | DR. MARC STOJKOVICH (PARTNER) |
| Authorized Official Telephone | 2196274111 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ETHOS DENTAL GROUP L.L.C. | 1934 45th Street, Munster, IN 46321 |
| Street Address |
1934 45TH STREET |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759519 | Repay Dental LLC | Dentist | 1934 45th Street, Munster, IN 46321 | 2018-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| 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 |
|---|---|---|---|---|
| 1396389110 | Nothing But The Tooth LLC | Dentist | 9335 Calumet Ave Ste A, Munster, IN 46321-4176 | 2019-11-05 |
| 1275799256 | Theodore Andrew Rokita | Dentist | 9727 Fran Lin Pkwy, Munster, IN 46321-3924 | 2008-07-30 |
| 1154442382 | Nicholas Paul Cuban II | Dentist | 9116 Columbia Ave, Munster, IN 46321-2907 | 2007-04-03 |
| 1457484420 | White Orchid Dental LLP | Dentist | 548 Ridge Road, Suite A, Munster, IN 46321-1722 | 2007-03-13 |
| 1720135189 | Romal Sediq | Dentist | 9352 Calumet Ave, Munster, IN 46321-2810 | 2007-01-05 |
| 1669529640 | John Wadas IIi | Dentist | 417 Ridge Rd, Munster, IN 46321-1570 | 2007-01-04 |
| 1649327867 | Michael Samuel Perez | Dentist | 625 Ridge Rd Ste B, Munster, IN 46321-1695 | 2007-01-03 |
| 1720141831 | Steven A. Bartosh | Dentist | 1445 Wellington Ter, Munster, IN 46321-4369 | 2006-12-19 |
| 1336217512 | Jim D. Frankos | Dentist | 805 Ridge Rd, 2nd Floor, Munster, IN 46321-1719 | 2006-12-04 |
| 1629164694 | Nicolette Polite | Dentist | 9337 Calumet Avenue, Munster, IN 46321 | 2006-10-05 |
| Find all providers in MUNSTER | ||||
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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.