Healthwise Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009766 Issued in IN

Legal business name

HEALTHWISE DENTAL, INC.

Practice address

118 E South St
Tipton, IN 46072-2040

Phone

(765) 675-8745

NPI assigned

Apr 8, 2008

Last updated

Apr 8, 2008By 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

Laurabeth Dunn

Title

Office Manager

Phone

(765) 675-8745

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1841463239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E SOUTH ST",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460722040",
            "telephone_number": "765-675-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E SOUTH ST",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460722040",
            "telephone_number": "765-675-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "LAURABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-675-8745"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.