Dental Associates West, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

12009717 Issued in IN

Legal business name

DENTAL ASSOCIATES WEST, P.C.

Practice address

5310 Pearl Dr
Suite C
Evansville, IN 47712-8105

Phone

(812) 422-1135

Fax

(812) 422-1978

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joyce Gonzalvo Ablog, D.D.S.

Title

President/Dentist

Phone

(812) 422-1135

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dental Associates West PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Associates West, PC

  • Dentist
  • Evansville, IN
  • NPI 1023295094
  NPD tax ID

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1548703671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 PEARL DR",
            "address_2": "SUITE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477128105",
            "telephone_number": "812-422-1135",
            "fax_number": "812-422-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 PEARL DR",
            "address_2": "SUITE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477128105",
            "telephone_number": "812-422-1135",
            "fax_number": "812-422-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES WEST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "ABLOG",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "GONZALVO",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "812-422-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200149940A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Deloach
• Maria G Delrio, MD
• Robert Patrick Denney, MD
• Nathanial Kyle Denning, LMHC-A
• Tracy Jo Deno-Buechlein, FNP
• Dental Associates West, PC
• Dental Professionals of Indiana, P.C.
• Dental Professionals of Indiana, P.C.
• Dentasafe LLC
• Mariellen Dentino, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.