| Puntillo Orthodontics, Pc | |
|
1539 South Court St Crown Point IN 46307-4809 | |
| (219) 662-2264 | |
| (219) 662-2331 |
| Full Name | Puntillo Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1539 South Court St, Crown Point, Indiana |
| Authorized Official Name and Position | Anthony Myers Puntillo (PRESIDENT) |
| Authorized Official Contact | 2196622264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puntillo Orthodontics, Pc 1539 South Court St Crown Point IN 46307-4809 Ph: (219) 662-2264 | Puntillo Orthodontics, Pc 1539 South Court St Crown Point IN 46307-4809 Ph: (219) 662-2264 |
| NPI Number | 1649395567 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 03/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649395567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12009367A (Indiana) | Primary |
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