Plymouth Family Dentistry, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

12010054 Issued in IN

Legal business name

PLYMOUTH FAMILY DENTISTRY, INC

Practice address

1400 N Oak Dr
Plymouth, IN 46563-3403

Phone

(574) 936-0644

NPI assigned

Apr 14, 2011

Last updated

Apr 14, 2011By 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

Mrs. Katie Clauss

Title

Office Manager

Phone

(574) 396-0644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1811287519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N OAK DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465633403",
            "telephone_number": "574-936-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N OAK DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465633403",
            "telephone_number": "574-936-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH FAMILY DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "CLAUSS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "574-396-0644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis D. Plumlee, D.D.S.
• Plymouth 20/20 Dental, LLC
• Plymouth Community School Corporation
• Plymouth Eye Clinic, P.C. (Plymouth Family Eyecare)
• Plymouth Family Dental Care
• Plymouth Fire & EMS Department (Plymouth Community Ambulance Service)
• Plymouth NH, LLC (Plymouth Nursing and Rehab)
• Plymouth Towne Care Pharmacy Inc (People's Drug Store)
• Plymouth Towne Care Pharmacy Inc (Peoples Drug Store)
• Plymouth Towne Care Pharmacy Inc (People Drugs and Lifeplex)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.