Dawson Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

12011067A Issued in IN

Legal business name

DAWSON FAMILY DENTISTRY

Practice address

1669 E Main St
Danville, IN 46122-9468

Phone

(317) 745-5173

Fax

(317) 745-5023

NPI assigned

Jun 20, 2017

Organization subpart

No

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

Authorized official

Name

Amy L Kaminski

Title

Business Manager

Phone

(317) 745-5173

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Holly A Bradford, DMD

  • General Practice Dentistry
  • Danville, IN
  • NPI 1164952974
  NPD
• Dayton W Dawson, DDS

  • Dentist
  • Danville, IN
  • NPI 1992991152
  NPD (past)
• Jon Erickson

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1699897645
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144740366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229468",
            "telephone_number": "317-745-5173",
            "fax_number": "317-745-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229468",
            "telephone_number": "317-745-5173",
            "fax_number": "317-745-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWSON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "317-745-5173"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011067A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danville Downtown Dentistry LLC
• Danville Family Eye Care LLC
• Danville Holistic Medical Center
• David W Zauel Professional Corp
• Delfin David
• Dayton W Dawson, DDS
• Zackary Day, MS, LAT, ATC
• Debwayllc
• Kristie Lynn Decker
• Anurag Deeconda, MD

• Dentist in Danville, IN
• Providers in Danville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.