| Portage Dental Rehab Center | |
|
6044 Lute Rd Portage IN 46368-5008 | |
| (219) 764-4004 | |
| (219) 764-4031 |
| Full Name | Portage Dental Rehab Center |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6044 Lute Rd, Portage, Indiana |
| Authorized Official Name and Position | Creshinda Denise Ayangade (DENTIST) |
| Authorized Official Contact | 2197644004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Dental Rehab Center 6044 Lute Rd Portage IN 46368-5008 Ph: (219) 764-4004 | Portage Dental Rehab Center 6044 Lute Rd Portage IN 46368-5008 Ph: (219) 764-4004 |
| NPI Number | 1417150137 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417150137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
Steven J Holm Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3465 Airport Road, Portage, IN 46368 Phone: 219-763-2727 Fax: 219-763-0126 | |
Secure Dental Vii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6129 Us Highway 6, Portage, IN 46368 Phone: 309-681-8888 | |
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Matthew Hearn Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3204 Lancer St Ste B, Portage, IN 46368 Phone: 219-762-1806 Fax: 219-763-9979 | |
Bewick Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Willowcreek Rd, Portage, IN 46368 Phone: 219-762-5288 Fax: 219-763-3369 | |
Healthy Smiles Portage, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6280 W Main St, Portage, IN 46368 Phone: 219-938-2637 | |
Sarver Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6035 Sterling Creek Rd, Portage, IN 46368 Phone: 219-850-1218 Fax: 219-762-0067 |