Healthy Smiles Portage, Llc | |
6280 W Main St Portage IN 46368-4670 | |
(219) 938-2637 | |
Not Available |
Full Name | Healthy Smiles Portage, Llc |
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Speciality | Dentist - General Practice |
Location | 6280 W Main St, Portage, Indiana |
Authorized Official Name and Position | Nicholas Cain (OWNER) |
Authorized Official Contact | 2199382637 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Healthy Smiles Portage, Llc 4629 Melton Rd Gary IN 46403-2866 Ph: (219) 938-2637 | Healthy Smiles Portage, Llc 6280 W Main St Portage IN 46368-4670 Ph: (219) 938-2637 |
NPI Number | 1306308515 |
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Provider Enumeration Date | 04/05/2019 |
Last Update Date | 04/05/2019 |
Identifier | Type | State | Issuer |
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1306308515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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