Advanced Dental Care of Cicero, LLC
Organization Active NPI Dental Clinic/Center · Cicero, IN
NPI 1992563696 · NPPES record last updated Mar 8, 2024
Key facts
- NPI
- 1992563696
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ADVANCED DENTAL CARE OF CICERO, LLC
- Practice address
- 130 W Jackson St
Cicero, IN 46034-5005 - Phone
- (317) 509-6499
- NPI assigned
- Mar 8, 2024
- Organization subpart
- No
Authorized official
- Name
- Denise Bever
- Title
- Regional Manager
- Phone
- (317) 509-6499
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
130 W Jackson St
Cicero, IN 46034-5005
Mailing address
130 W Jackson St
Cicero, IN 46034-5005
Other names
- Advanced Dental Care of Cicero
Other providers in Cicero, IN
- Ellen R. Bell
- Jessica Ruth Bleyle
- Cicero Chiropractic Inc.
- Cicero Corporation
- Cicero Family Dental LLC
All providers in Cicero, IN · Dental Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2024. 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.