| Beacon Hill Dental | |
|
102 E 107th Ave Crown Point IN 46307 | |
| (219) 750-1150 | |
| Not Available |
| Full Name | Beacon Hill Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 102 E 107th Ave, Crown Point, Indiana |
| Authorized Official Name and Position | Paul M Miller (OWNER) |
| Authorized Official Contact | 5035750929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Hill Dental 102 E 107th Ave Crown Point IN 46307 Ph: (219) 750-1150 | Beacon Hill Dental 102 E 107th Ave Crown Point IN 46307 Ph: (219) 750-1150 |
| NPI Number | 1538599220 |
|---|---|
| Provider Enumeration Date | 11/18/2013 |
| Last Update Date | 11/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538599220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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