| Michael B Gasko,dds ,inc | |
|
225 N Notre Dame Ave 5 South Bend IN 46617-2839 | |
| (574) 234-6561 | |
| (574) 286-5144 |
| Full Name | Michael B Gasko,dds ,inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 225 N Notre Dame Ave, South Bend, Indiana |
| Authorized Official Name and Position | Michael B Gasko (PRESIDENT) |
| Authorized Official Contact | 5742346561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael B Gasko,dds ,inc 225 N Notre Dame Ave 5 South Bend IN 46617-2839 Ph: (574) 234-6561 | Michael B Gasko,dds ,inc 225 N Notre Dame Ave 5 South Bend IN 46617-2839 Ph: (574) 234-6561 |
| NPI Number | 1538535836 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 08/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538535836 | NPI | - | NPPES |
| 200106530A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007239IN (Indiana) | Primary |
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