SOUTHWAY FAMILY DENTISTRY (NPI# 1902154248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902154248 |
| Entity Type | Organization |
| Organization Name | SOUTHWAY FAMILY DENTISTRY |
| Practice Address |
3745 S Madison St Muncie IN 47302-5756 |
| Mailing Address |
3745 S. Madison St Muncie IN 47302-5756 |
| Practice Telephone | 7658969857 |
| Practice Fax Number | 7658969937 |
| Mailing Telephone | 7658969857 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Authorized Official Name | DR. DAVID M BUKSAR (OWNER) |
| Authorized Official Telephone | 7658969857 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12009906A | IN | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SOUTHWAY FAMILY DENTISTRY LLC | 3745 South Madison Street, Muncie, IN 47302 |
| Street Address |
3745 S MADISON ST |
| City | MUNCIE |
| State | IN |
| Zip Code | 47302-5756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932617370 | Joshua Bronson | Chiropractor | 501 W Memorial Dr #2894, Muncie, IN 47302 | 2018-01-19 |
| 1083826580 | Janalee Lukens | Speech-Language Pathologist | 2700 E. 450 S., Muncie, IN 47302 | 2007-05-04 |
| 1639390123 | Kiely D Rednour | Physical Therapy Assistant | 3813 S Madison Street, Muncie, IN 47302 | 2007-05-01 |
| 1073617395 | Wal-mart Stores East, Lp | Technician/Technologist | 1501 E. 29th St., Muncie, IN 47302 | 2006-09-08 |
| 1255369013 | Roger D Grimm | Specialist/Technologist | 3813 S. Madison St., Muncie, IN 47302 | 2006-06-29 |
| 1649252891 | David Michael Buksar | Dentist | 3745 South Madison St, Muncie, IN 47302 | 2005-11-15 |
| 1366524217 | Behavioral Interventions Inc | Counselor | 2207 W Memorial Dr, Muncie, IN 47302-2075 | 2006-10-19 |
| 1144207614 | Elizabeth Treese | Internal Medicine | 905 S Walnut St, Muncie, IN 47302-2333 | 2005-12-27 |
| 1710309588 | Kathryn Gramlich | Nurse Practitioner | 905 S Walnut St, Muncie, IN 47302-2333 | 2014-01-14 |
| 1356549588 | Zohair Mapara | Family Medicine | 905 S Walnut St, Muncie, IN 47302-2333 | 2007-07-10 |
| Find all providers in zip 47302 | ||||
| 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 |
|---|---|---|---|---|
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1093064339 | Suzanne Rae Reedy | Dentist | 2301 W. Jackson, Muncie, IN 47303 | 2012-08-31 |
| 1245559822 | Thomas Chase Cornils | Dentist | 2016 W Mcgalliard Rd, Muncie, IN 47304-2148 | 2010-05-22 |
| 1184859803 | John T Notarianni | Dentist | 1825 W Mcgalliard Rd, Muncie, IN 47304-2210 | 2009-05-26 |
| 1467612481 | The Dental Place | Dentist | 1804 W Mcgalliard Rd, Muncie, IN 47304-2209 | 2008-06-12 |
| 1659548139 | Allcare Dental & Dentures of In PC | Dentist | 613 E Mcgalliard Rd, Muncie, IN 47303-2066 | 2008-05-13 |
| 1477768026 | Suzanne R. Reedy, D.d.s., P.C. | Dentist | 2301 W Jackson St, Muncie, IN 47303-4733 | 2007-05-14 |
| 1326250325 | Jackson Family Dentistry | Dentist | 202 Reserve, Muncie, IN 47303 | 2007-05-04 |
| 1003038225 | Dental Professionals of Indiana, P.C. | Dentist | 1130 E Princeton Ave, Muncie, IN 47303 | 2007-05-03 |
| 1356565022 | Timothy Shane Williams | Dentist | 2915 N Oakwood Ave, Muncie, IN 47304-2255 | 2007-04-12 |
| Find all providers in MUNCIE | ||||
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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.