Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841592235 Individual Practitioner Male Practitioner

Dr. Alan Roy Antao , DMD

Dentist • Bourbon, IN

Professional Overview & Biography Verified Profile Summary

Dr. Alan Antao, DMD is a registered healthcare professional specializing in Dentist in Bourbon, IN. Practice services are available at 909 N WASHINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

909 N Washington St

Bourbon, IN 465041447

Telephone 5743424385
Associated Practice Facility / Clinic
🏢 Nicole L. Christy Dds Pc Facility NPI 1033274071

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bourbon, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Bourbon, IN (1682 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-25
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12014150A

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License FL DN21372

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Nicole Christy , DDS

Dentist - General Practice

NPI 1497819445

Doctor of Dental Surgery

Dr. Stephen Cullison , DDS

Dentist - General Practice

NPI 1700940764

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 25, 2024

Registered at 909 N WASHINGTON ST, BOURBON, IN 465041447 (Tel: 5743424385)

👤
Provider Name / Credentials Updated September 25, 2024

Recorded as ALAN ANTAO, DMD

NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2016

Registered at 300 TUSKEGEE BLVD, BUILDING 304, DOVER AFB, DE 199025003 (Tel: 3026772227)

📍
Updated Business Mailing Address November 02, 2016

Registered at 3136 WOODFIELD DR, KOKOMO, IN 469024788 (Tel: 7655135700)

👤
Provider Name / Credentials Updated November 02, 2016

Recorded as ALAN ANTAO, PA-C, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Dentist (License #DN21372 in FL)

🟢
Initial NPI Registration & Enumeration November 17, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841592235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2010
Last Update: September 25, 2024
Sole Proprietor: No

Mailing Address

3136 Woodfield Dr

Kokomo, IN 469024788

Phone: 7655135700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.