Van Oddol and Schlitt Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

12009989 Issued in IN

Legal business name

VAN ODDOL AND SCHLITT FAMILY DENTISTRY

Practice address

2283 Provident CT
Warsaw, IN 46580-3215

Phone

(574) 267-7017

NPI assigned

Jan 19, 2012

Organization subpart

No

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

Authorized official

Name

Jasmine Mary Gabriel Schlitt, DDS

Title

President

Phone

(574) 267-7017

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1255602546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2283 PROVIDENT CT",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 PROVIDENT CT",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803215",
            "telephone_number": "574-267-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN ODDOL AND SCHLITT FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "GABRIEL SCHLITT",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-267-7017",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Warsaw, IN
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• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.