Organization Active NPI

Dental Associates West, PC

  • Dentist
  • Evansville, IN
National Provider Identifier
1023295094
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009717 Issued in IN
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

Updated by the provider on Jan 22, 2008

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.NPI 1336276187
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)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.