| Cicero Family Dental Llc | |
|
411 N Peru St Cicero IN 46034-9498 | |
| (317) 984-3531 | |
| Not Available |
| Full Name | Cicero Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 411 N Peru St, Cicero, Indiana |
| Authorized Official Name and Position | Blake Westra (OWNER) |
| Authorized Official Contact | 2175496928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cicero Family Dental Llc 522 E Jasper St Paris IL 61944-2437 Ph: () - | Cicero Family Dental Llc 411 N Peru St Cicero IN 46034-9498 Ph: (317) 984-3531 |
| NPI Number | 1912424672 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912424672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Thomas J Elliott D.d.s. , P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 W Jackson St, Cicero, IN 46034 Phone: 317-984-5676 | |
Hoosier Dentures & Dental Surgery, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 S Peru St, Cicero, IN 46034 Phone: 317-809-7790 | |
Advanced Dental Care Of Cicero, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Jackson St, Cicero, IN 46034 Phone: 317-509-6499 |