Active NPI
Dental Associates West, PC
- Dentist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12009717
- Legal business name
- DENTAL ASSOCIATES WEST, PC
- Practice address
- 4829 University Dr
Evansville, IN 47712-6585 - Phone
- (812) 422-1135
- Fax
- (812) 422-1978
- NPI assigned
- Jan 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joyce G Ablog, D.D.S.
- Title
- President
- Phone
- (812) 422-1135
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12009717 | IN | Primary |
Addresses
Primary practice location
4829 University Dr
Evansville, IN 47712-6585
Mailing address
4829 University Dr
Evansville, IN 47712-6585
Phone (812) 422-1135
National Provider Directory
National Provider Directory- Tax ID family
- Dental Associates West PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Evansville, IN
- NPI 1548703671
Locations
4829 University Dr
Evansville, IN 47712
Phone (812) 422-1135
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Evansville, IN
- NPI 1336276187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1023295094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4829 UNIVERSITY DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477126585",
"telephone_number": "812-422-1135",
"fax_number": "812-422-1978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4829 UNIVERSITY DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477126585",
"telephone_number": "812-422-1135",
"fax_number": "812-422-1978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL ASSOCIATES WEST, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "ABLOG",
"authorized_official_first_name": "JOYCE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-422-1135",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IN",
"license": "12009717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.