Advanced Dental Care (Crown Point) P.C.
Organization Active NPI Dentist · Crown Point, IN
NPI 1497910574 · NPPES record last updated Jul 28, 2008
Key facts
- NPI
- 1497910574
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- ADVANCED DENTAL CARE (CROWN POINT) P.C.
- Practice address
- 11055 Broadway
Suite E
Crown Point, IN 46307-9177 - Phone
- (219) 306-4050
- NPI assigned
- Jul 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Michael Cole
- Title
- Insurance Director
- Phone
- (727) 726-1611
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Advanced Dental Care Crown Point PC
Locations
11055 Broadway
Ste E
Crown Point, IN 46307
Phone (219) 306-4050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
11055 Broadway
Suite E
Crown Point, IN 46307-9177
Mailing address
11055 Broadway
Suite E
Crown Point, IN 46307-9177
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.