Dental Services of Indiana, P.c.

NPI #1144746314 in Merrillville, Indiana

Provider Information

NPI Number: 1144746314
Entity Type: Organization
Organization Name: Dental Services of Indiana, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL SERVICES OF INDIANA, P.C.
Primary Specialty: Dentist
Enumeration Date: Aug 18, 2017
Last Updated: Aug 18, 2017

Practice Location

Address: 532 EAST 81ST AVENUE
City: Merrillville
State: Indiana
ZIP Code: 46410
Phone: (913) 428-1686

Authorized Official

Name: MONICA L LONG
Title: MANAGER OF PROVIDER CREDENTIALING
Phone: (913) 428-1686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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