NPI 1548037278
Indiana Dental Associates
Practice location
- Address
- 1901 Grant St, Gary, IN 46404-2761
- Phone
- (219) 880-1430
- Fax
- (219) 239-2197
- Mailing address
- 1600 E 93rd St, Chicago, IL 60617-3607
Authorised official
- Name
- Lucia Gamino
- Title
- General Manager
- Phone
- (773) 530-7550
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1548037278
- Entity type
- Organization
- NPI issued
- 4 Dec 2023
- Record last updated
- 4 Dec 2023
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.