NWI DENTAL, LLC (NPI# 1982093704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982093704 |
| Entity Type | Organization |
| Organization Name | NWI DENTAL, LLC |
| Other Organization Name | ASPEN DENTAL |
| Practice Address |
2505 Laporte Ave Valparaiso IN 46383-6994 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 3154546000 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |
| Authorized Official Name | SEAN SCHAFER (OWNER) |
| Authorized Official Telephone | 3154546000 |
| Authorized Official Credential | DDS |
| 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 |
|---|---|
| Aspen Dental | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | NWI DENTAL, LLC | 483 Ashford Lane, Valparaiso, IN 46385 |
| Street Address |
2505 LAPORTE AVE |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-6994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376981522 | George Pete Politakis | Dentist | 2505 Laporte Ave, Valparaiso, IN 46383-6994 | 2013-06-10 |
| 1730591686 | Bolanle Maryam Balogun | Dentist | 2505 Laporte Ave, Valparaiso, IN 46383-6994 | 2014-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| 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 |
|---|---|---|---|---|
| 1902464613 | Emily Svetanoff | Dentist | 4400 N Calumet Ave Ste 300, Valparaiso, IN 46383-1606 | 2019-05-29 |
| 1376981522 | George Pete Politakis | Dentist | 2505 Laporte Ave, Valparaiso, IN 46383-6994 | 2013-06-10 |
| 1932440898 | Shideler Dentistry, P.C. | Dentist | 8 N Garfield, Valparaiso, IN 46383-5019 | 2013-03-01 |
| 1376793513 | Yohan Ghang | Dentist | 2505 Laporte Ave Ste 111, Valparaiso, IN 46383-6995 | 2008-09-24 |
| 1053586883 | Luis L Cuellar Jr. | Dentist | 225 Aberdeen Drive, Suite E, Valparaiso, IN 46385 | 2008-04-23 |
| 1215159876 | Lifetime Dental Care of Indiana, PC | Dentist | 334 West Us 30, Suite G, Valparaiso, IN 46385 | 2007-05-03 |
| 1316165434 | Dean Boldin | Dentist | 402 Marquette St, Valparaiso, IN 46383-2563 | 2007-04-23 |
| 1285851485 | Gary Allen Nondorf | Dentist | 2001 Roosevelt Rd, Valparaiso, IN 46383-2746 | 2007-04-19 |
| 1225152895 | Richard Dennis Stackert | Dentist | 506 E Evans Avenue, Valparaiso, IN 46383 | 2007-03-19 |
| 1811038813 | Hugh Allen Smith Sr. | Dentist | 236 S 100 W, Valparaiso, IN 46385-9663 | 2007-02-11 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
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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.