| David P. Ladd, D.d.s., Pd | |
|
551 W Us Highway 30 Schererville IN 46375-2650 | |
| (219) 322-3118 | |
| (219) 322-2763 |
| Full Name | David P. Ladd, D.d.s., Pd |
|---|---|
| Speciality | Dentist |
| Location | 551 W Us Highway 30, Schererville, Indiana |
| Authorized Official Name and Position | David Paul Ladd (PRESIDENT) |
| Authorized Official Contact | 2193223118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David P. Ladd, D.d.s., Pd 551 W. Lincoln Highway Schererville IN 46375 Ph: (219) 322-3118 | David P. Ladd, D.d.s., Pd 551 W Us Highway 30 Schererville IN 46375-2650 Ph: (219) 322-3118 |
| NPI Number | 1104271311 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104271311 | NPI | - | NPPES |
| 200451280 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010573A (Indiana) | Primary |
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