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Dr. John R. Avila, DDS
General Practice Dentistry in La Porte, Indiana
NPI 1952423840

John R. Avila is a General Practice Dentistry based in Michigan City, IN and is specialized in General Practice. John R. Avila practices in La Porte, IN and has the professional credentials of DDS. The NPI Number for John R. Avila is 1952423840 and holds a License No. 12009519 (Indiana).

The current practice location address for John R. Avila is 400 Teegarden St, La Porte, IN and can be reached out via phone at 219-326-0043 and via fax at 219-326-8909.

Location: 400 Teegarden St, La Porte, IN, 46360-9361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952423840
Provider Name
John R. Avila
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
400 Teegarden St, La Porte, IN, 46360-9361
Phone Number
219-326-0043
Fax Number
219-326-8909
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100375060 05 IN
institution
Provider Business Practice Location Address Details
Address
400 Teegarden St
City
La Porte
State
Indiana
Zip
46350-3175
Phone Number
219-326-0043
Fax Number
219-326-8909
person
Provider Business Mailing Address Details
Address
400 Teegarden St
City
La Porte
State
Indiana
Zip
46350-3175
Phone Number
219-326-0043
Fax Number
219-326-8909
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12009519 (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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