| Merrillville Dental Center Inc. | |
|
303 W 89th Ave Ste E2 Merrillville IN 46410-6295 | |
| (219) 755-0045 | |
| Not Available |
| Full Name | Merrillville Dental Center Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 303 W 89th Ave Ste E2, Merrillville, Indiana |
| Authorized Official Name and Position | Timothy John Kamp (OWNER) |
| Authorized Official Contact | 2193336166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrillville Dental Center Inc. 303 W 89th Ave Ste E2 Merrillville IN 46410-6295 Ph: (219) 755-0045 | Merrillville Dental Center Inc. 303 W 89th Ave Ste E2 Merrillville IN 46410-6295 Ph: (219) 755-0045 |
| NPI Number | 1477192136 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477192136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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