Jeffersonville Commons Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFERSONVILLE COMMONS DENTAL

Practice address

1019 Jeffersonville Commons Drive
Jeffersonville, IN 47130

Phone

(812) 302-3200

Fax

(812) 302-3222

NPI assigned

May 4, 2020

Organization subpart

No

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

Authorized official

Name

Michelle Elizabeth Faeth

Title

Office Manager

Phone

(502) 718-1226

Specialties & licenses 1

Addresses

Other names 1

• Spring Street Dental Doing business as

Tax ID family

Jeffersonville Commons Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spring Street Dental

  • General Practice Dentistry
  • Jeffersonville, IN
  • NPI 1770572083
  NPD tax ID

Locations

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1972124717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 SPRING ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303731",
            "telephone_number": "502-718-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 JEFFERSONVILLE COMMONS DRIVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-302-3200",
            "fax_number": "812-302-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSONVILLE COMMONS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "FAETH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-718-1226"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James R Davis MD LLC
• Arese F James, LCSW
• Jennifer Janes, APRN
• Darian Nicole Jarvis
• Jebs Anesthesia Consultants, LLC
• Jeffersonville Family Dental, PC
• Jeffersonville Integrative Clinic LLC
• Jeffersonville Pediatric Dentistry LLC
• Jeffersonville Pediatrics LLC
• Jenkins Podiatry PC

• General Practice Dentistry in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.