Warrick Park Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7613 Issued in IN

Legal business name

WARRICK PARK DENTAL

Practice address

800 Office Park Dr
Boonville, IN 47601-8601

Phone

(812) 897-4889

Fax

(812) 897-8113

NPI assigned

Jan 7, 2013

Last updated

Jan 7, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jed Marlin Inman, D.D.S.NPI 1588740815

Title

Owner/Dentist

Phone

(812) 897-4889

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jed Marlin Inman, DDS

  • General Practice Dentistry
  • Boonville, IN
  • NPI 1588740815
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1003153354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OFFICE PARK DR",
            "city": "BOONVILLE",
            "state": "IN",
            "postal_code": "476018601",
            "telephone_number": "812-897-4889",
            "fax_number": "812-897-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OFFICE PARK DR",
            "city": "BOONVILLE",
            "state": "IN",
            "postal_code": "476018601",
            "telephone_number": "812-897-4889",
            "fax_number": "812-897-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRICK PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "MARLIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "812-897-4889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011465A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "7613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Joseph Wagner, DDS
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0566)
• Wal-Mart Stores East, LP (Vision Center 30-0566)
• Warrick County Health Department
• Warrick County School Corp.
• Warrick Park Dental, LLP
• Samuel Watkins
• Janelle R Weatherholt, RD
• Jacqueline E Williams, MSSW LCSW
• Korbin Williams

• General Practice Dentistry in Boonville, IN
• Providers in Boonville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.