Huntertown Dental Services, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

54000888A Issued in IN

Legal business name

HUNTERTOWN DENTAL SERVICES, INC.

Practice address

14932 Lima Rd
Huntertown, IN 46748-9275

Phone

(260) 637-5848

Fax

(260) 637-6153

NPI assigned

Aug 12, 2015

Organization subpart

No

Name

Linda Marie Brezausek-Sodano, DDS

Title

Dentist/Owner

Phone

(260) 637-5848

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

• Linda Marie Brezausek, D.D.S.

  • General Practice Dentistry
  • Garrett, IN
  • NPI 1518188697
  NPD (past)
• Kelsey Pence, DDS

  • Dentist
  • Huntertown, IN
  • NPI 1134961485
  NPD (past)
• Thomas Paul Sodano, D.D.S.

  • General Practice Dentistry
  • Huntertown, IN
  • NPI 1043431810
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2015.

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1902272081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14932 LIMA RD",
            "city": "HUNTERTOWN",
            "state": "IN",
            "postal_code": "467489275",
            "telephone_number": "260-637-5848",
            "fax_number": "260-637-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14932 LIMA RD",
            "city": "HUNTERTOWN",
            "state": "IN",
            "postal_code": "467489275",
            "telephone_number": "260-637-5848",
            "fax_number": "260-637-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTERTOWN DENTAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "BREZAUSEK-SODANO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "260-637-5848",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "54000888A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lela Dawn Fortune-Brown, LMT
• Felipe Guerra, RDN
• Lauren Hale, CPM, CDEM
• Lacey Michelle Harvey, PA-C
• Huntertown Dental Group, P.C.
• Infusion Care Group LLC
• Jill Johnson
• Kash Medical Holdings LLC
• Alexandria Larsen-Hallock, DO
• Nang Lin, MD

• All providers in Huntertown, IN
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.