| Nikki Wargo Dds Inc | |
|
1452 E 85th Ave Merrillville IN 46410-8905 | |
| (219) 756-6214 | |
| (219) 756-6214 |
| Full Name | Nikki Wargo Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1452 E 85th Ave, Merrillville, Indiana |
| Authorized Official Name and Position | Nikki Ann Wargo (PRESIDENT) |
| Authorized Official Contact | 2197566214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikki Wargo Dds Inc 1452 E 85th Ave Merrillville IN 46410-8905 Ph: (219) 756-6214 | Nikki Wargo Dds Inc 1452 E 85th Ave Merrillville IN 46410-8905 Ph: (219) 756-6214 |
| NPI Number | 1548380215 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 03/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548380215 | NPI | - | NPPES |
| 200490450 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010645A (Indiana) | Primary |
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