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5th Ave Dental Inc.
General Practice Dentistry in Gary, Indiana
NPI 1396136511

5th Ave Dental Inc. is a General Practice Dentistry based in East Chicago, IN and is specialized in General Practice. 5th Ave Dental Inc. practices in Gary, IN. The NPI Number for 5th Ave Dental Inc. is 1396136511 and holds a License No. 12011381 (Indiana).

The current practice location address for 5th Ave Dental Inc. is 1619 W 5Th Ave, Gary, IN and can be reached out via phone at 708-359-2068.

Location: 1619 W 5Th Ave, Gary, IN, 46312-3307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396136511
Provider Name
5th Ave Dental Inc.
Credential
Provider Entity Type
Organization
Address
1619 W 5Th Ave, Gary, IN, 46312-3307
Phone Number
708-359-2068
Fax Number
Provider Enumeration Date
02/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1619 W 5Th Ave
City
Gary
State
Indiana
Zip
46404-1506
Phone Number
708-359-2068
Fax Number
person
Provider Business Mailing Address Details
Address
1619 W 5Th Ave
City
Gary
State
Indiana
Zip
46404-1506
Phone Number
708-359-2068
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12011381 (Indiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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