| Popovich Dental Corporation | |
|
223 S Court St Crown Point IN 46307-3951 | |
| (219) 663-0252 | |
| (219) 663-3249 |
| Full Name | Popovich Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 223 S Court St, Crown Point, Indiana |
| Authorized Official Name and Position | James Gabriel Popovich (CEO) |
| Authorized Official Contact | 2196630252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Popovich Dental Corporation 223 S Court St Crown Point IN 46307-3951 Ph: (219) 663-0252 | Popovich Dental Corporation 223 S Court St Crown Point IN 46307-3951 Ph: (219) 663-0252 |
| NPI Number | 1750660221 |
|---|---|
| Provider Enumeration Date | 08/15/2011 |
| Last Update Date | 08/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750660221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12006634 (Indiana) | Secondary |
| 122300000X | Dentist | 12010460A (Indiana) | Primary |
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