MIDDLETON FAMILY DENTISTRY LLC (NPI# 1952617664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952617664 |
| Entity Type | Organization |
| Organization Name | MIDDLETON FAMILY DENTISTRY LLC |
| Other Organization Name | CHARLES H MIDDLETON DDS |
| Practice Address |
1234 E Dupont Rd Ste 4 Fort Wayne IN 46825-1545 |
| Practice Telephone | 2604843136 |
| Mailing Telephone | 2604843136 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |
| Authorized Official Name | DR. CHARLES H MIDDLETON (OWNER) |
| Authorized Official Telephone | 2604843136 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 12011467A | IN | Dental Providers |
| N | 122300000X | Dentist | 12007605 | IN | Dental Providers |
| Y | 122300000X | Dentist | 12008119 | IN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Charles H Middleton DDS | Doing Business As Name - Organization |
| Street Address |
1234 E DUPONT RD STE 4 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654882 | Logan Charles Goodrich | Dentist | 1234 E Dupont Rd Ste 4, Fort Wayne, IN 46825-1545 | 2020-06-19 |
| 1538423645 | Connie Suah Shim Middleton | Dentist | 1234 E Dupont Rd Ste 4, Fort Wayne, IN 46825-1545 | 2012-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| 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 |
|---|---|---|---|---|
| 1669025037 | Emma Kathleen O'heeney | Dentist | 9405 Illinois Rd, Fort Wayne, IN 46804-5795 | 2019-07-24 |
| 1023670874 | Cory Kappesser | Dentist | 10505 Lima Rd, Fort Wayne, IN 46818-9536 | 2019-07-02 |
| 1558843698 | John Lawrence Bixler | Dentist | 7207 Engle Rd Ste 2, Fort Wayne, IN 46804-2231 | 2018-09-05 |
| 1366960445 | Chelsea L Schafer | Dentist | 2828 E State Blvd Ste A, Fort Wayne, IN 46805-4761 | 2017-09-08 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1740697945 | Vishali Sharma | Dentist | 4716 Illinois Rd, Fort Wayne, IN 46804-5122 | 2014-07-20 |
| 1306250642 | Jeffrey Max Batesole | Dentist | 9121 Illinois Rd, Fort Wayne, IN 46804-5753 | 2014-06-15 |
| 1891120382 | Salkeld Family Dental, LLC | Dentist | 12962 Coldwater Rd, Fort Wayne, IN 46845-9517 | 2013-09-04 |
| 1205272168 | Tyler Jerome Kimmel | Dentist | 1717 S. Calhoun Street, Fort Wayne, IN 46802 | 2013-05-20 |
| 1467726851 | Gentle Care Family Dentistry | Dentist | 2444 Getz Rd, Fort Wayne, IN 46804-1632 | 2012-03-02 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
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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.