SHAKAMAK FAMILY DENTISTRY, LLC
NPI 1568992022
Dentist - General Practice in Jasonville, IN

Active since June 18, 2017
206 S MERIDIAN ST, JASONVILLE, IN 47438(812) 665-2275(812) 665-9374 Get Directions Write a Review

NPPES record last updated: June 18, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shakamak Family Dentistry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAKAMAK FAMILY DENTISTRY, LLC (NPI 1568992022) is a healthcare organization registered as a general practice in Jasonville, Indiana and active in the NPI registry since June 2017. The organization lists Steven W Kellett, Owner, as its authorized official.

NPPES Registry Identity

NPI1568992022
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHAKAMAK FAMILY DENTISTRY, LLC
Location Address206 S MERIDIAN STJasonville, IN 47438-1520
Mailing Address190 C St NwLinton, IN 47441-1328 · (812) 847-8646 · Fax (812) 847-8761
Fax(812) 665-9374
Organization SubpartNo
Authorized OfficialSteven W KellettOwner · (812) 665-2275
Enumeration DateJune 18, 2017
NPI 1568992022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12012106A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
206 S MERIDIAN ST, Jasonville, IN 47438

Other Names 1

Doing Business AsShakamak Family Dentistry, Llc

Other Identifiers 1

Medicaid201234800AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
206 S MERIDIAN ST
JASONVILLE, IN 47438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shakamak Family Dentistry, LLC's NPI number?

The NPI number for Shakamak Family Dentistry, LLC is 1568992022. It was assigned to this organization in the NPPES registry on June 18, 2017.

Where is Shakamak Family Dentistry, LLC located?

Shakamak Family Dentistry, LLC is located at 206 S Meridian St, Jasonville, IN 47438. The listed phone number is (812) 665-2275.

What is Shakamak Family Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Shakamak Family Dentistry, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, DentaQuest USA Insurance and UnitedHealthcare list Shakamak Family Dentistry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shakamak Family Dentistry, LLC was last updated on June 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.