Organization Active NPI

Southwind Dental Care PC

  • Dentist
  • Mount Vernon, IN
National Provider Identifier
1457257768
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOUTHWIND DENTAL CARE PC
Practice address
803 E 4TH St
Mount Vernon, IN 47620-2012
Phone
(812) 838-4841
Fax
(812) 286-0783
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Dr. Janos Thomas Fullop, DMD
Title
Owner/Dentist
Phone
(812) 838-4841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

803 E 4TH St
Mount Vernon, IN 47620-2012

Mailing address

803 E 4TH St
Mount Vernon, IN 47620-2012
Phone (812) 838-4841

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1457257768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E 4TH ST",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476202012",
            "telephone_number": "812-838-4841",
            "fax_number": "812-286-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E 4TH ST",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476202012",
            "telephone_number": "812-838-4841",
            "fax_number": "812-286-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWIND DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "FULLOP",
        "authorized_official_first_name": "JANOS",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "812-838-4841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.