Newburgh Smile Center, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12007170B Issued in IN

Legal business name

NEWBURGH SMILE CENTER, LLC

Practice address

8099 Rose Hill Dr
Newburgh, IN 47630-2384

Phone

(812) 853-2961

NPI assigned

Dec 21, 2009

Last updated

Dec 21, 2009By 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. Edward G Prusz, DDSNPI 1669503322

Title

Dentist

Phone

(812) 853-2961

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Edward G Prusz, D.D.S.

  • Dentist
  • Newburgh, IN
  • NPI 1669503322
  NPD (past) Authorized official
• Jon Tyler Vandeventer, D.D.S.

  • Dentist
  • Newburgh, IN
  • NPI 1912038258
  NPD (past)

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1043549009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8099 ROSE HILL DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302384",
            "telephone_number": "812-853-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8099 ROSE HILL DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302384",
            "telephone_number": "812-853-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURGH SMILE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "PRUSZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "812-853-2961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12007170B",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12010766A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newburgh Assisted Living, LLC (Heritage Woods of Newburgh)
• Newburgh Chiropractic PSC
• Newburgh Eye Care, P.C.
• Newburgh Family Medicine, PC
• Newburgh Modern Dentistry LLC
• Newburgh Urgent Care LLC (Mercy Urgent Care)
• Emily Beatrice Newcome
• Mackenzie Newland
• Tessa Newman
• Brian Keith Newton, PHARMD

• Dental Clinic/Center in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.