Advanced Dental Group LLC

Organization Active NPI Dental Clinic/Center · Crown Point, IN

NPI 1497949044 · NPPES record last updated Jun 19, 2008

Key facts

NPI
1497949044
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
ADVANCED DENTAL GROUP LLC
Practice address
10780 Randolph St
Crown Point, IN 46307-7615
Phone
(219) 663-6579
Fax
(219) 663-5085
NPI assigned
Aug 28, 2007
Organization subpart
No

Authorized official

Name
Dr. Kim A Kessler, DDS
Title
Partner
Phone
(219) 663-6579

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

10780 Randolph St
Crown Point, IN 46307-7615

Mailing address

10780 Randolph St
Crown Point, IN 46307-7615
Phone (219) 663-6579

Other names

  • Advanced Dental Concepts of Winfield Doing business as

Other providers in Crown Point, IN

All providers in Crown Point, IN · Dental Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.