Plainfield Family Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1200-9590 Issued in IN

Legal business name

PLAINFIELD FAMILY DENTAL INC

Practice address

1620 Hawthorne Dr
Ste 100
Plainfield, IN 46168

Phone

(317) 839-8684

Fax

(317) 839-5864

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

Mr. Timothy Jon Williams, D.D.S.NPI 1760698450

Title

Owner/President

Phone

(317) 839-8684

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, and the practitioner matching its NPPES authorized official.

• Timothy Williams

  • General Practice Dentistry
  • Plainfield, IN
  • NPI 1760698450
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255443917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HAWTHORNE DR",
            "address_2": "STE 100",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "46168",
            "telephone_number": "317-839-8684",
            "fax_number": "317-839-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HAWTHORNE DR",
            "address_2": "STE 100",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "46168",
            "telephone_number": "317-839-8684",
            "fax_number": "317-839-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINFIELD FAMILY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "317-839-8684",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "1200-9590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plainfield Comm SCH Corp
• Plainfield Community School Corporation
• Plainfield Dental
• Plainfield Dental, LLC
• Plainfield Eye Care PC
• Plainfield Oral & Maxillofacial Surgery
• Plainfield Orthodontics, P.C.
• Plainfield Park Pediatric Dentistry
• Plainfield Vision Care LLC
• Patricia R Poindexter, CNS

• General Practice Dentistry in Plainfield, IN
• Providers in Plainfield, 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.