| Lakeshore Family Dental, P.c. | |
|
1232 E Michigan Blvd Michigan City IN 46360-4856 | |
| (219) 872-2116 | |
| (219) 874-7087 |
| Full Name | Lakeshore Family Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1232 E Michigan Blvd, Michigan City, Indiana |
| Authorized Official Name and Position | Vidas Thomas Noreika (PRESIDENT) |
| Authorized Official Contact | 2198722116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Family Dental, P.c. 1232 E Michigan Blvd Michigan City IN 46360-4856 Ph: (219) 872-2116 | Lakeshore Family Dental, P.c. 1232 E Michigan Blvd Michigan City IN 46360-4856 Ph: (219) 872-2116 |
| NPI Number | 1053411645 |
|---|---|
| Provider Enumeration Date | 09/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053411645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54001178A (Indiana) | Primary |
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