The Wickton Team, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

THE WICKTON TEAM, LLC

Doing business as

Tinker Tooth Pediatric Dentistry

Practice address

675 Patrick PL Ste E
Brownsburg, IN 46112-2110

Phone

(502) 314-3330

NPI assigned

Jul 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Chadwick Shelton, DMD, MSDNPI 1194160267

Title

Owner

Phone

(502) 314-3330

Specialties & licenses 1

Addresses

Other names 1

• Tinker Tooth Pediatric Dentistry Doing business as

Practitioners 1

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

• Andrea Chadwick Shelton, D.M.D.

  • Pediatric Dentistry
  • Brownsburg, IN
  • NPI 1194160267
  NPD Authorized official

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1619602299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 WINDVIEW",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127641",
            "telephone_number": "502-314-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PATRICK PL STE E",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122110",
            "telephone_number": "502-314-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WICKTON TEAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "CHADWICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-314-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tinker Tooth Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Tekulve
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• Jacqueline Terrill, RBT
• Gracie Tharp, RBT
• The Health and Hospital Corporation of Marion County (Brownsburg Meadows)
• Alexis Thomas
• Brittany Thomas
• Hannah Thomas, RBT
• Jennifer Thomas
• Kieraleigh Thomas

• Pediatric Dentistry in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Pediatric Dentistry in Indiana

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