TYLER J POTTER (NPI# 1992749402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992749402 |
| Entity Type | Individual |
| Full Name | TYLER J POTTER |
| Credential | D.D.S. |
| Practice Address |
1630 W Smith Valley Rd Greenwood IN 46142-1550 |
| Mailing Address |
10972 Allisonville Rd Suite 110 Fishers IN 46038-2637 |
| Practice Telephone | 3178823370 |
| Practice Fax Number | 3178822964 |
| Mailing Telephone | 3179132363 |
| Mailing Fax Number | 3179132360 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12010184A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200449320 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669803342 | Tyler Potter | Behavior Technician | 3949 N River Rd, Freeland, MI 48623-8856 | 2013-12-06 |
| Street Address |
1630 W SMITH VALLEY RD |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46142-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821045147 | John W Pruitt | Dentist | 1630 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
| 1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
| 1467956201 | Gerth Counseling | Social Worker | 386 Meridian Parke Lane, Suit B, Greenwood, IN 46142 | 2018-03-19 |
| 1588019988 | Jessica Lynn Osborne | Speech-Language Pathologist | 1701 Library Park Blvd, Greenwood, IN 46142 | 2016-05-04 |
| 1417301359 | John Thomas Ferguson Jr. | Marriage & Family Therapist | 3209 W Smith Valley Road, #225, Indianapolis, IN 46142 | 2016-04-18 |
| 1982065132 | Linda Barnes | Occupational Therapist | 124 Hawthorne Lane, Greenwood, IN 46142 | 2016-03-16 |
| 1346611688 | Elisha Cain | Optometrist | 1298 Us-31, Greenwood, IN 46142 | 2015-10-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1164708202 | Greenwood Family Chiropractic, LLC | Chiropractor | 520 N Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| 1447536586 | Leanne Nicole Schlueter | Chiropractor | 520 North Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| Find all providers in zip 46142 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821045147 | John W Pruitt | Dentist | 1630 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2006-05-30 |
| 1942287586 | Ann M Holzhauer | Dentist | 112 Liner Dr, Greenwood, SC 29646-2310 | 2005-12-25 |
| 1609407907 | Moses Oral and Facial Surgery LLC | Dentist | 202 W Park Ave, Greenwood, MS 38930-3009 | 2020-01-27 |
| 1144373895 | David Daran Trigg | Dentist | 385 Meridian Parke Ln, Suite A, Greenwood, IN 46142-9426 | 2007-01-18 |
| 1669578720 | Western Carolina Oral & Maxillofacial Surgery, Pa | Dentist | 112 Liner Dr, Greenwood, SC 29646-2310 | 2006-09-16 |
| 1063472876 | John C. Sowell | Dentist | 112 Liner Dr, Greenwood, SC 29646-2310 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063918746 | Robinpreet Singh Pannu | Dentist | 550 University Blvd Ste 3195, Indianapolis, IN 46202-5149 | 2018-04-02 |
| 1912435843 | Advanced Family Dentistry | Dentist | 9845 E 116th St Ste 400, Fishers, IN 46037-9236 | 2017-05-23 |
| 1093250151 | Ruckman Oral Surgery and Implant Center LLC | Dentist | 9901 Auburn Rd, Fort Wayne, IN 46825-2345 | 2016-12-28 |
| 1992159552 | Kokomo Implant and Oral Surgery, LLC | Dentist | 2008 West Sycamore Street, Kokomo, IN 46901-4112 | 2016-04-20 |
| 1659752335 | Yusif Umar | Dentist | 550 University Blvd # Uh3145, Indianapolis, IN 46202-5149 | 2015-06-17 |
| 1154710267 | Lawrence G. Falender Dds PC | Dentist | 1320 N Post Rd, Indianapolis, IN 46219-4210 | 2015-01-13 |
| 1568878270 | Austin Starr | Dentist | 473 S Landmark Ave, Bloomington, IN 47403-5005 | 2014-07-02 |
| 1144668989 | Timothy William Surber | Dentist | 5701 Brownstone Dr, Indianapolis, IN 46220-5851 | 2013-06-13 |
| 1396189387 | Intp Dental PC | Dentist | 8555 River Rd Ste 180, Indianapolis, IN 46240-4311 | 2013-04-22 |
| 1932440054 | John Joseph Schier Jr. | Dentist | 3021 E 98th St Ste 250, Indianapolis, IN 46280-2908 | 2013-03-14 |
| Find all providers with the same taxonomy | ||||
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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.