Evansville Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54000097A Issued in IN

Legal business name

EVANSVILLE DENTAL ASSOCIATES

Doing business as

TriState Family Dnetal Centers

Practice address

800 1St Ave
Evansville, IN 47710-1938

Phone

(812) 425-4206

Fax

(812) 423-4466

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Martha Fisher

Title

Office Administrator

Phone

(812) 425-4206

Specialties & licenses 1

Addresses

Other names 1

• TriState Family Dnetal Centers Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Sue Conrad, DMD

  • Dentist
  • Evansville, IN
  • NPI 1568663805
  NPD (past)
• Brandy Marie Greco, DDS

  • Dentist
  • Evansville, IN
  • NPI 1740416882
  NPD (past)
• Mark John Schymik, DDS

  • General Practice Dentistry
  • Evansville, IN
  • NPI 1528019940
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043203235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101938",
            "telephone_number": "812-425-4206",
            "fax_number": "812-423-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101938",
            "telephone_number": "812-425-4206",
            "fax_number": "812-423-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "812-425-4206"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "54000097A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TriState Family Dnetal Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evansville Chiropractic & Injury
• Evansville Chiropractic, LLC (Full Circle Health)
• Evansville Christian Life Center Inc
• Evansville Christian Life Center Inc
• Evansville Counseling Center, LLC
• Evansville Endodontics
• Evansville Endodontics, Inc.
• Evansville Eyecare Associates, Inc.
• Evansville Family Medicine
• Evansville Hearing Aid Center, LLC

• General Practice Dentistry in Evansville, IN
• Providers in Evansville, 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 Aug 22, 2020; 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.