| Polus Dental | |
|
1549 South Court Street Suite B Crown Point IN 46307-4809 | |
| (219) 662-0131 | |
| (219) 662-3962 |
| Full Name | Polus Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1549 South Court Street, Crown Point, Indiana |
| Authorized Official Name and Position | Philip G. Polus (DR.) |
| Authorized Official Contact | 2196620131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polus Dental 1549 South Court Street Suite B Crown Point IN 46307-4809 Ph: (219) 662-0131 | Polus Dental 1549 South Court Street Suite B Crown Point IN 46307-4809 Ph: (219) 662-0131 |
| NPI Number | 1083707566 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083707566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8055 (Indiana) | Primary |
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