| Pediatric Dentistry Of Northwest Indiana Pc | |
|
2833 Lincoln St Suite 1 Highland IN 46322-1924 | |
| (219) 838-2007 | |
| (219) 972-5267 |
| Full Name | Pediatric Dentistry Of Northwest Indiana Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2833 Lincoln St, Highland, Indiana |
| Authorized Official Name and Position | Terry G. Schechner (PRESIDENT) |
| Authorized Official Contact | 2198382007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Northwest Indiana Pc 2833 Lincoln St Suite 1 Highland IN 46322-1924 Ph: (219) 838-2007 | Pediatric Dentistry Of Northwest Indiana Pc 2833 Lincoln St Suite 1 Highland IN 46322-1924 Ph: (219) 838-2007 |
| NPI Number | 1861417818 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861417818 | NPI | - | NPPES |
| 130765 | Other | IN | UNITED CONCORDIA |
| 155777 | Other | IN | CHILDRENS SPECIAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12008141A (Indiana) | Primary |
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