Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 890 Richard Rd, Dyer, Indiana |
Authorized Official Name and Position | Hari Desai (MEMBER) |
Authorized Official Contact | 3172500478 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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890 Richard Rd Dyer IN 46311-1779 Ph: (219) 322-1326 | 890 Richard Rd Dyer IN 46311-1779 Ph: (219) 322-1326 |
NPI Number | 1619510138 |
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Provider Enumeration Date | 10/28/2019 |
Last Update Date | 10/28/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619510138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
The Center For Implants, Sedation And Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 890 Richard Rd, Dyer, IN 46311 Phone: 219-322-3171 Fax: 219-322-9986 | |
John B Valesano, Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Richard Rd, Dyer, IN 46311 Phone: 219-322-3418 | |
Dental 360 Dyer Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 890 Richard Rd, Dyer, IN 46311 Phone: 219-322-1326 | |
Dyer Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 890 Richard Rd, Dyer, IN 46311 Phone: 219-322-1326 | |