DR. THOMAS P JUDD (NPI# 1952565772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952565772 |
| Entity Type | Individual |
| Full Name | DR. THOMAS P JUDD |
| Credential | DDS |
| Practice Address |
1901 #b Western Avenue Ihc South Bend South Bend IN 46601 |
| Practice Telephone | 5742349033 |
| Practice Fax Number | 5742349059 |
| Mailing Telephone | 5742349033 |
| Mailing Fax Number | 5742349059 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12011153A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740210756 | Thomas E Judd | Specialist | 1355 N University Ave Ste 110, Provo, UT 84604-2721 | 2006-07-04 |
| 1487615704 | Thomas Aaron Judd | Optometrist | 15640 New Hampshire Ct, Fort Myers, FL 33908-4168 | 2006-03-28 |
| 1497944367 | Thomas David Judd | Social Worker | 3181 Sandhill Rd, Mason, MI 48854 | 2007-10-17 |
| 1780788802 | Thomas Elvin Judd | Internal Medicine | 10 Hospital Dr, Ste 105, Holyoke, MA 01040 | 2006-09-11 |
| 1740276542 | Thomas K. Judd | Internal Medicine | 3700 Saint Charles Ave, 4th Floor, New Orleans, LA 70115-4637 | 2005-09-27 |
| Street Address |
1901 #B WESTERN AVENUE IHC SOUTH BEND |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447737002 | Graciela Jimenez-martinez | Registered Nurse | 1901 #b Western Avenue, South Bend, IN 46619 | 2018-07-25 |
| 1740439223 | Scott J. Vanslambrouck | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46619 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| 1316167307 | Dwaine Siade | Physician Assistant | 611 Lincoln Way East Suite 1, South Bend, IN 46601 | 2007-05-01 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615796 | Himabindu Gogeneni | Dentist | 3575 Portage Ave Ste A, South Bend, IN 46628-6092 | 2020-10-06 |
| 1699241216 | Candace Jane Rich | Dentist | 220 Dean Johnson Blvd Rm 184, South Bend, IN 46601-3415 | 2018-10-22 |
| 1811325665 | Dennis Lee Carter | Dentist | 53360 Crestview Dr, South Bend, IN 46635-1354 | 2013-10-14 |
| 1598034894 | Klopenstine Family Dentistry PC | Dentist | 52120 State Road 933, South Bend, IN 46637-3846 | 2011-12-16 |
| 1730480898 | David Allan Varner | Dentist | 1902 E Ireland Rd, South Bend, IN 46614-2863 | 2010-11-05 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1265693634 | Thomas Gene Magnuson | Dentist | 4550 S Ironwood Dr, South Bend, IN 46614-9595 | 2008-06-18 |
| 1427259175 | Nicole Lambert Hurcomb | Dentist | 51584 State Road 933, South Bend, IN 46637-1704 | 2007-05-30 |
| 1609092170 | Jennifer Roberts | Dentist | 1605 N Ironwood Dr, South Bend, IN 46635-1843 | 2007-04-17 |
| 1740326636 | George Washington Surguy | Dentist | 521 East Monroe Street, South Bend, IN 46601-2325 | 2007-01-29 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.