Southwest Pediatric Dental - Dental Clinic in St. John, IN

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Southwest Pediatric Dental is a dental clinic (Dentist - Pediatric Dentistry) in St. John, Indiana. The current practice location for Southwest Pediatric Dental is 8217 Wicker Ave, St. John, Indiana. For appointments, you can reach them via phone at (219) 440-1710. The mailing address for Southwest Pediatric Dental is 8217 Wicker Ave, St. John, Indiana and phone number is (219) 440-1710.

Southwest Pediatric Dental is licensed to practice in * (Not Available) (license number ) and its NPI number is 1982433819. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (219) 440-1710.

Contact Information

Southwest Pediatric Dental
8217 Wicker Ave
St. John
IN 46373
(219) 440-1710
Not Available

Map and Direction


Dental Care Clinic Profile

Full NameSouthwest Pediatric Dental
SpecialityDentist - Pediatric Dentistry
Location8217 Wicker Ave, St. John, Indiana
Authorized Official Name and PositionJames R Mitsos (OWNER)
Authorized Official Contact2194401710
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southwest Pediatric Dental
8217 Wicker Ave
St. John
IN 46373

Ph: (219) 440-1710		Southwest Pediatric Dental
8217 Wicker Ave
St. John
IN 46373

Ph: (219) 440-1710

NPI Details:

NPI Number1982433819
Provider Enumeration Date07/30/2024
Last Update Date10/03/2024

Medical Identifiers

Medical identifiers for Southwest Pediatric Dental such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982433819NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice (* (Not Available))Secondary
1223P0221XDentist - Pediatric Dentistry (* (Not Available))Primary

Reviews and Comments


Dental Clinics in St. John, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.