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Pediatric Dentistry Of Northwest Indiana Pc
Pediatric Dentist in Valparaiso, Indiana
NPI 1992858658

Pediatric Dentistry Of Northwest Indiana Pc is a Pediatric Dentist based in Valparaiso, IN and is specialized in Pediatric Dentistry. Pediatric Dentistry Of Northwest Indiana Pc practices in Valparaiso, IN. The NPI Number for Pediatric Dentistry Of Northwest Indiana Pc is 1992858658 and holds a License No. (Indiana).

The current practice location address for Pediatric Dentistry Of Northwest Indiana Pc is 809 Wall St, Valparaiso, IN and can be reached out via phone at 219-462-8779 and via fax at 219-531-2440.

Location: 809 Wall St, Valparaiso, IN, 46383-2570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992858658
Provider Name
Pediatric Dentistry Of Northwest Indiana Pc
Credential
Provider Entity Type
Organization
Address
809 Wall St, Valparaiso, IN, 46383-2570
Phone Number
219-462-8779
Fax Number
219-531-2440
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100914 01 IN CHILDRENS SPECIAL HEALTH
755187 01 IN UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
809 Wall St
City
Valparaiso
State
Indiana
Zip
46383-2570
Phone Number
219-462-8779
Fax Number
219-531-2440
person
Provider Business Mailing Address Details
Address
809 Wall St
City
Valparaiso
State
Indiana
Zip
46383-2570
Phone Number
219-462-8779
Fax Number
219-531-2440
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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