INDIANA DENTAL CLINIC PC (NPI# 1952404337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952404337 |
Entity Type | Organization |
Organization Name | INDIANA DENTAL CLINIC PC |
Other Organization Name | BROWNSTOWN DENTAL CLINIC |
Practice Address |
615 W Commerce St Brownstown IN 47220 |
Mailing Address |
Po Box 38 Brownstown IN 47220 |
Practice Telephone | 8123585950 |
Practice Fax Number | 8123582062 |
Mailing Telephone | 8123585950 |
Mailing Fax Number | 8123582062 |
Enumeration Date | 2006-09-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. FENNIS BLEDSOE (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 7652922366 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
Brownstown Dental Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790888170 | Indiana Dental Clinic PC | Dentist | 29101 St Rd 19, Atlanta, IN 46031 | 2006-09-07 |
Street Address |
615 W COMMERCE ST |
City | BROWNSTOWN |
State | IN |
Zip Code | 47220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174603344 | Joshua Oryan Howder | Dentist | 615 W Commerce St, Brownstown, IN 47220 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841417276 | Ronnie D Harper | Dentist | 615 W. Commerce St, Brownstown, IN 47220 | 2007-04-19 |
1114020849 | Hook Superx LLC | Pharmacy | 415 S Main St Ai, Brownstown, IN 47220 | 2006-09-07 |
1255342853 | Joel Lewis Mcgill | General Practice | 213 E Cross St, Brownstown, IN 47220 | 2006-08-10 |
1558436659 | Brownstown Family Medicine,pc | Family Medicine | 806 W Commerce St, Brownstown, IN 47220-1200 | 2006-11-22 |
1326125600 | Family Drugs, Inc | Durable Medical Equipment & Medical Supplies | 810 W Commerce St, Brownstown, IN 47220-1200 | 2006-11-01 |
1013228360 | Rhonda L Fountain | Nurse Practitioner | 806 W Commerce St, Brownstown, IN 47220-1200 | 2010-07-01 |
1801955695 | Julie Ann Branaman | Pharmacist | 810 W Commerce St, Brownstown, IN 47220-1200 | 2006-12-07 |
1053421511 | Thomas Scott Roberts | Family Medicine | 210 N Main St., Brownstown, IN 47220-1509 | 2006-08-30 |
1851310155 | Roger Wayne England | Dentist | 120 E Bridge St, Brownstown, IN 47220-1521 | 2006-07-18 |
1750414710 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 645 E Bridge St, Brownstown, IN 47220-1557 | 2007-03-13 |
Find all providers in zip 47220 |
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 |
---|---|---|---|---|
1841417276 | Ronnie D Harper | Dentist | 615 W. Commerce St, Brownstown, IN 47220 | 2007-04-19 |
1215026174 | William Earl Burgess | Dentist | 498 S Co Rd 300 E, Brownstown, IN 47220-9704 | 2006-10-11 |
1689786014 | Family Gentle Dentists | Dentist | 23000 Telegraph Rd, Suite #3, Brownstown, MI 48134-9265 | 2006-08-31 |
1518915297 | Gordon Ermel Newlin | Dentist | 215 W Cross St, Brownstown, IN 47220-1909 | 2006-05-04 |
1982072146 | Eric Dewayne Parker | Dentist | 502 S Main St, Brownstown, IN 47220-1920 | 2015-09-04 |
1881074458 | Parker Dental, L.L.C. | Dentist | 502 S Main St, Brownstown, IN 47220-1920 | 2015-06-09 |
1538426960 | B. A. Burkhart, D. D. S., P.C. | Dentist | 25110 Telegraph Rd, Brownstown, MI 48134-1072 | 2012-04-23 |
1124150438 | Eleni Callis-dionyssopoulos | Dentist | 25110 Telegraph Rd, Brownstown, MI 48134-1072 | 2007-03-12 |
1538185244 | Aaron Edward Ison | Dentist | 502 S Main St, Brownstown, IN 47220-1920 | 2006-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912121 | Danville Downtown Dentistry LLC | Dentist | 94 S Tennessee St, Danville, IN 46122-1836 | 2020-11-05 |
1558968024 | Connor Michael Kirtley | Dentist | 325 N Walnut St Ste A, Seymour, IN 47274-2113 | 2020-10-07 |
1467067819 | Hewlett Zaremba LLC | Dentist | 309 N Bittersweet Rd # 105, Mishawaka, IN 46544-4220 | 2020-09-12 |
1679186258 | James Patrick Thompson | Dentist | 5909 Wheelock Rd Ste 102, Fort Wayne, IN 46835-9258 | 2020-08-25 |
1770194698 | Dental Professionals of In, P.C. | Dentist | 8570 Northwest Blvd, Indianapolis, IN 46278-1383 | 2020-08-13 |
1407466055 | Marcus Bigot | Dentist | 13590b N Meridian St Ste 101, Carmel, IN 46032-1409 | 2020-08-07 |
1639788219 | Karima N Lubbadeh | Dentist | 12574 Promise Creek Ln Ste 110, Fishers, IN 46038-7713 | 2020-07-29 |
1689282196 | Eric Gerald Hollensbe | Dentist | 3415 S Lafountain St Ste I, Kokomo, IN 46902-3826 | 2020-07-21 |
1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
1578181194 | Trisha Johnson Cahill | Dentist | 1202 W Buena Vista Rd Ste 206, Evansville, IN 47710-5134 | 2020-07-09 |
Find all providers with the same taxonomy |
City | BROWNSTOWN |
Zip Code | 47220 |
Please comment or provide details below to improve the information on INDIANA DENTAL CLINIC PC.
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.