Modern Dental Professionals - Indiana, PC

Primary specialty

DentistTaxonomy code 122300000X

License

12010661A Issued in IN

Legal business name

MODERN DENTAL PROFESSIONALS - INDIANA, PC

Practice address

304 Norris Ave
North Vernon, IN 47265-2343

Phone

(812) 346-8000

Fax

(812) 346-3990

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jessica J Sinclair, DDS

Title

Owner

Phone

(714) 578-6358

Specialties & licenses 1

Addresses

Other names 1

• Bright Now Dental Doing business as

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1821155128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 DATAPOINT DR",
            "address_2": "STE. 1020",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293298",
            "telephone_number": "714-578-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 NORRIS AVE",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472652343",
            "telephone_number": "812-346-8000",
            "fax_number": "812-346-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL PROFESSIONALS - INDIANA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-578-6358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010661A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Now Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerigan Miller
• Leonard Ezekiel Miller, PSY.D., HSPP
• Marc Miller, RPH
• Trevor Charles Miller, D.C.
• Vicky Miller, MSOTR
• Teresa L Muckley, RPH
• Scott H Murphy, M.D.
• Kimberly Napier, NP-C
• Neil Strait Hill North Vernon Family Medicine
• Neil Strait Hill North Vernon Family Medicine

• Dentist in North Vernon, IN
• Providers in North Vernon, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.