Advanced Dental | |
15285 W 101st Ave Suite H Dyer IN 46311-3035 | |
(219) 365-5420 | |
(219) 365-5448 |
Full Name | Advanced Dental |
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Speciality | Dentist - General Practice |
Location | 15285 W 101st Ave, Dyer, Indiana |
Authorized Official Name and Position | Marie Irma Gambetta (SECRETARY) |
Authorized Official Contact | 2199233391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Dental 1801 Oriole Dr Munster IN 46321-3443 Ph: (219) 923-3391 | Advanced Dental 15285 W 101st Ave Suite H Dyer IN 46311-3035 Ph: (219) 365-5420 |
NPI Number | 1528118148 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528118148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12010023A (Indiana) | Primary |
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