| Jay Platt Dds Pc | |
|
322 Indianapolis Boulevard Suite 100 Schererville IN 46375-2656 | |
| (219) 864-1133 | |
| (219) 864-9203 |
| Full Name | Jay Platt Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 322 Indianapolis Boulevard, Schererville, Indiana |
| Authorized Official Name and Position | Jay C Platt (PRESIDENT) |
| Authorized Official Contact | 2198641133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Platt Dds Pc 322 Indianapolis Boulevard Suite 100 Schererville IN 46375-2656 Ph: (219) 864-1133 | Jay Platt Dds Pc 322 Indianapolis Boulevard Suite 100 Schererville IN 46375-2656 Ph: (219) 864-1133 |
| NPI Number | 1548465339 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 08/22/2007 |
| Medicare PECOS PAC ID | 5395830954 |
|---|---|
| Medicare Enrollment ID | O20070927000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548465339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12008814A (Indiana) | Primary |
| Provider Name | Jay C Platt |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518948041 PECOS PAC ID: 0547229494 Enrollment ID: I20070330000535 |
| Provider Name | Upasna Janu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689337628 PECOS PAC ID: 5597150268 Enrollment ID: I20221206000309 |
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