MEENARIN PANITTAVEEKUL


Address: 1121 W Michigan St, Indianapolis, IN 46202-5211
Phone: 3175567559

MEENARIN PANITTAVEEKUL (NPI# 1922647114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922647114
Entity Type Individual
Full Name MEENARIN PANITTAVEEKUL
Credential DDS,MSD
Practice Address 1121 W Michigan St
Indianapolis
IN 46202-5211
Mailing Address 2183 Seasons South Dr Unit 205
Indianapolis
IN 46280-1654
Practice Telephone 3175567559
Mailing Telephone 3175567559
Enumeration Date 2020-01-06
Last Update Date 2020-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
98001038A IN Dental Providers

Office Location

Street Address 1121 W MICHIGAN ST
City INDIANAPOLIS
State IN
Zip Code 46202-5211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528055951 Norman Blaine Cook Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2005-09-30
1780293480 Brian Jeffrey Hoagburg Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2020-07-28
1780167999 Laila Al Dehailan Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2018-09-13
1497235238 Chao-chieh Yang Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2018-08-21
1265925663 Elana Laks Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2018-06-11
1720529019 Waldemar Polido Dentist 1121 W Michigan St, Ds307b, Indianapolis, IN 46202-5211 2017-03-20
1083154041 Ahmed Ghoneima Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2017-02-24
1447705108 Anderson T Hara Dentist 1121 W Michigan St, Ds307b, Indianapolis, IN 46202-5211 2016-08-23
1003269614 Jeong Hwa Hong Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2016-07-19
1396107397 Priscilla Clinton Adams Dentist 1121 W Michigan St, Indianapolis, IN 46202 2016-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962068502 Karina Pezo Shirley Dentist 2001 W Washington St Ste B2, Indianapolis, IN 46222-4549 2019-05-18
1275039497 Julianne Manzo Sotomil Dentist 1121 W Michigan St # S312, Indianapolis, IN 46202-5211 2018-04-05
1447638648 Kamolphob Phasuk Dentist 1121 W Michigan St Rm 313, Indianapolis, IN 46202-5521 2015-05-08
1770994238 Ankit Patel Dentist 5770 Noble Dr, Indianapolis, IN 46234-7725 2014-05-17
1053415414 Fildent Inc Dentist 6202 Broadway St, Indianapolis, IN 46220 2006-09-07
1396718185 Alpha Denture Center, Inc. Dentist 6845 Parkdale Pl, Suite A, Indianapolis, IN 46254-5618 2006-02-10
1497235238 Chao-chieh Yang Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2018-08-21
1265925663 Elana Laks Dentist 1121 W Michigan St, Indianapolis, IN 46202-5211 2018-06-11
1780965061 Indianapolis Dental Center LLC Dentist 8445 S Emerson Ave, Suite 101, Indianapolis, IN 46237-9596 2011-08-31
1407168636 Wei-shao Lin Dentist 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 2010-07-02
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Competitor

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City INDIANAPOLIS
Zip Code 46202

Improve Information

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Dataset Information

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.

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