| Parkside Dental Care | |
|
1515 W 45th Ave Griffith IN 46319 | |
| (219) 922-9007 | |
| (219) 922-3890 |
| Full Name | Parkside Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1515 W 45th Ave, Griffith, Indiana |
| Authorized Official Name and Position | Jennifer Hoelscher (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Dental Care 1515 W 45th Ave Griffith IN 46319 Ph: (219) 922-9007 | Parkside Dental Care 1515 W 45th Ave Griffith IN 46319 Ph: (219) 922-9007 |
| NPI Number | 1306058417 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306058417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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