| Pediatric Dentistry Of Northwest Indiana Pc | |
|
809 Wall St Suite D Valparaiso IN 46383-2570 | |
| (219) 462-8779 | |
| (219) 531-2440 |
| Full Name | Pediatric Dentistry Of Northwest Indiana Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 809 Wall St, Valparaiso, Indiana |
| Authorized Official Name and Position | Terry G. Schechner (PRESIDENT) |
| Authorized Official Contact | 2194628779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Northwest Indiana Pc 809 Wall St Suite D Valparaiso IN 46383-2570 Ph: (219) 462-8779 | Pediatric Dentistry Of Northwest Indiana Pc 809 Wall St Suite D Valparaiso IN 46383-2570 Ph: (219) 462-8779 |
| NPI Number | 1992858658 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992858658 | NPI | - | NPPES |
| 100914 | Other | IN | CHILDRENS SPECIAL HEALTH |
| 755187 | Other | IN | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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