| Michiana Dental Sleep, Llc. | |
|
301 E Day Rd Suite 100 Mishawaka IN 46545-3455 | |
| (574) 271-3198 | |
| Not Available |
| Full Name | Michiana Dental Sleep, Llc. |
|---|---|
| Speciality | Dentist |
| Location | 301 E Day Rd, Mishawaka, Indiana |
| Authorized Official Name and Position | Scott Hewitt (PRESIDENT) |
| Authorized Official Contact | 5742713198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michiana Dental Sleep, Llc. 301 E Day Rd Suite 100 Mishawaka IN 46545-3455 Ph: (574) 271-3198 | Michiana Dental Sleep, Llc. 301 E Day Rd Suite 100 Mishawaka IN 46545-3455 Ph: (574) 271-3198 |
| NPI Number | 1558518720 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 05/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558518720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54001132A (Indiana) | Primary |
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