NPI 1174900179

Northwest Indiana Center for Dental Implants and Gerneral Dentistry

Organisation General Practice Dentistry Schererville, IN

Practice location

Address: 124 E US Highway 30, Schererville, IN 46375-2117
Phone: (219) 865-3050
Fax: (219) 865-3431

Authorised official

Name: John S Frazee
Title: Dentist/ Owner
Phone: (219) 865-3050

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1174900179
Entity type: Organization
NPI issued: 29 Apr 2015
Record last updated: 21 Jul 2022

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.