NPI 1104039510

Lynn E Gassoway,dds,inc

Organisation Dental Clinic/Center Gary, IN

Practice location

Address: 8412 Maple Ave, Gary, IN 46403-1419
Phone: (219) 938-2875
Fax: (219) 938-2875

Authorised official

Name: Lynn Elise Gassoway
Title: President
Phone: (219) 938-2875

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 12007149 (IN)

Other Clinic/Center providers in Indiana →

Registry record

NPI: 1104039510
Entity type: Organization
NPI issued: 8 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.