Maple Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010584A Issued in IN

Legal business name

MAPLE FAMILY DENTISTRY LLC

Practice address

718 E Broadway
Logansport, IN 46947-3158

Phone

(574) 753-4717

Fax

(574) 732-1076

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wendy Diann Maple, DDSNPI 1801096003

Title

Owner

Phone

(574) 753-4717

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Wendy Diann Maple, DDS

  • General Practice Dentistry
  • Logansport, IN
  • NPI 1801096003
  NPD (past) Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1073656740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 E BROADWAY",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469473158",
            "telephone_number": "574-753-4717",
            "fax_number": "574-732-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 E BROADWAY",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469473158",
            "telephone_number": "574-753-4717",
            "fax_number": "574-732-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "MAPLE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "DIANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-753-4717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010584A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logansport Surgical Assoc PC
• Michael Lawrence Long
• Teresa Ann Long, RN
• Mary Louthain, RN
• Kayla Magers, LMT
• Wendy Diann Maple, DDS
• Shana Markle, PH.D.
• Karen Marks
• Heather Dawn Marschand, BSW
• Scott E Marsh, DPM

• General Practice Dentistry in Logansport, IN
• Providers in Logansport, 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 Jul 25, 2007; 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.