FREMONT FAMILY DENTISTRY, P.C. (NPI# 1871715359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871715359 |
| Entity Type | Organization |
| Organization Name | FREMONT FAMILY DENTISTRY, P.C. |
| Practice Address |
1003 W Toledo Street Fremont IN 46737-0667 |
| Mailing Address |
P.o. Box 667 Fremont IN 46737-0667 |
| Practice Telephone | 2604952255 |
| Practice Fax Number | 2604959023 |
| Mailing Telephone | 2604952255 |
| Mailing Fax Number | 2604959023 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-05-17 |
| Authorized Official Name | MRS. SUSAN H. MAUK (PRESIDENT) |
| Authorized Official Telephone | 2604952255 |
| 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 |
012537445 001 7 | IN | Dental Providers |
| Street Address |
1003 W TOLEDO STREET |
| City | FREMONT |
| State | IN |
| Zip Code | 46737-0667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801809421 | Susan H. Mauk | Dentist | 1003 W Toledo Street, Fremont, IN 46737 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508955907 | Diane R Crisman | Speech-Language Pathologist | 401 South Broad St., Suite A, Fremont, IN 46737-0774 | 2006-10-12 |
| 1093368391 | Adam Stump | Dentist | 1003 W Toledo St, Fremont, IN 46737-2075 | 2019-07-17 |
| 1437263944 | Ted J. Crisman | Family Medicine | 401 S Broad St, Ste. B, Fremont, IN 46737-2114 | 2006-08-19 |
| 1346785722 | Full Potential. Inc | Community/Behavioral Health | 700 W Toledo St, P.o 187, Fremont, IN 46737-7606 | 2016-12-21 |
| 1790227288 | Alexandra Marie Friend | Rehabilitation Practitioner | 407 Charles Dr, Fremont, IN 46737-7615 | 2016-11-15 |
| 1558374876 | Christopher James Bretz | Acupuncturist | 804 Spring Hill Ct, Fremont, IN 46737-7625 | 2006-08-15 |
| 1699784686 | William Edward Bopp | Pharmacist | 6998 E 400 N, Fremont, IN 46737-8028 | 2006-08-07 |
| 1457960536 | Lake George Surgery Center, LLC | Clinic/Center | 6245 N Old 27 Ste A10, Fremont, IN 46737-8707 | 2020-07-24 |
| 1467067579 | Apollo Medical Group of Lake George LLC | Nurse Anesthetist, Certified Registered | 6245 N Old 27, Fremont, IN 46737-8711 | 2020-09-15 |
| 1255655213 | Brandy Chipman | Specialist | 140 Lane 587aa Lake James, Fremont, IN 46737-9001 | 2010-03-19 |
| Find all providers in zip 46737 | ||||
| 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 |
|---|---|---|---|---|
| 1275140881 | Bindi Satishkumar Patel | Dentist | 4261 Stevenson Blvd Apt 178, Fremont, CA 94538-2739 | 2020-09-28 |
| 1962057133 | Lais Mohammed Lodin | Dentist | 2895 Freeman Pl, Fremont, CA 94555-1413 | 2019-08-05 |
| 1730671736 | Justin J Shih | Dentist | 1895 Mowry Ave Ste 105, Fremont, CA 94538-1700 | 2018-06-05 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1588191738 | Rabia Qadir Memon | Dentist | 39355 California St Ste 100, Fremont, CA 94538-1447 | 2017-05-18 |
| 1376902155 | Priya Patel | Dentist | 4615 Rousillon Ave, Fremont, CA 94555 | 2016-02-22 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1609246701 | Reginald Woo | Dentist | 4988 Paseo Padre Pkwy, 204, Fremont, CA 94555-3412 | 2015-10-01 |
| 1508243098 | Don Sin Dmd II Pa | Dentist | 102 S Sycamore St, Fremont, NC 27830-8709 | 2015-05-04 |
| 1134510654 | Nachiket J. Dave Dds, Inc | Dentist | 39489 Fremont Blvd., Fremont, CA 94438 | 2015-02-06 |
| Find all providers in FREMONT | ||||
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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.