| United Dental Centers | |
|
5254 Hohman Ave Hammond IN 46320-1722 | |
| (219) 933-4900 | |
| Not Available |
| Full Name | United Dental Centers |
|---|---|
| Speciality | Dentist |
| Location | 5254 Hohman Ave, Hammond, Indiana |
| Authorized Official Name and Position | Kenneth Fried (PRESIDENT) |
| Authorized Official Contact | 2199334900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Dental Centers 5254 Hohman Ave Hammond IN 46320-1722 Ph: (219) 933-4900 | United Dental Centers 5254 Hohman Ave Hammond IN 46320-1722 Ph: (219) 933-4900 |
| NPI Number | 1801197868 |
|---|---|
| Provider Enumeration Date | 11/08/2010 |
| Last Update Date | 11/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801197868 | NPI | - | NPPES |
| 100147560B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009174 (Indiana) | Primary |
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