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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DETAILED DENTAL

Active Organization

DETAILED DENTAL is a Dentist organization located in CEDAR LAKE, Indiana. NPI 1215267661 is currently active in the NPPES registry. Verify at CMS.

Dentist · CEDAR LAKE, IN

Registration Details

NPI Number
1215267661
Provider Type
Organization
NPI Issued
Jan 7, 2010 (16.59154416913 yrs)
Last Updated
Jan 7, 2010
License
12011020 (IN)

Practice Information

Address
13963 MORSE ST
CEDAR LAKE, IN, 463039639
Browse IN providers · Browse ZIP 46303
Phone
2193742400
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in CEDAR LAKE, IN

Name NPI
MOODY DENTAL LLC 1396110508
CEDAR LAKE DENTAL, INC. 1538956750
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.