Cedar Lake Dental Center, Inc. in Cedar Lake - General Practice

Cedar Lake Dental Center, Inc. - NPI 1326126871

Cedar Lake Dental Center, Inc. is a General Practice in Cedar Lake, Indiana. Cedar Lake Dental Center, Inc. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Cedar Lake Dental Center, Inc. is 1326126871. The last update date is 2020-08-22.

Cedar Lake Dental Center, Inc.'s current location address is 13955 Morse St, Cedar Lake, Indiana. You can contact this provider via phone number 2193745591 and fax number 2196622573. The mailing address for Cedar Lake Dental Center, Inc. is 13955 Morse St, Cedar Lake, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cedar Lake Dental Center, Inc.
Address 13955 Morse St, Cedar Lake, Indiana
Phone Number 2193745591
Fax Number 2196622573
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kazwell Douglas Richard
Credentials D.D.S.
Telephone Number 2193745591

NPI Number Detail

NPI Number 1326126871
Provider Enumeration Date 2006-11-01
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 13955 Morse St
City Cedar Lake
State Indiana (IN)
Post Code 463039639
Phone Number 2193745591
Fax Number 2196622573

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 54000250A
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Cedar Lake Dental Center, Inc.

What is the Cedar Lake Dental Center, Inc.'s unique identification number?

The Cedar Lake Dental Center, Inc. has been assigned the NPI (National Provider Identifier) Number 1326126871 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Cedar Lake Dental Center, Inc.?

The Cedar Lake Dental Center, Inc. is situated at 13955 Morse St, in the city of Cedar Lake, state of IN, with the zip code 463039639.

What is the area of specialization for Cedar Lake Dental Center, Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Cedar Lake Dental Center, Inc. is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1326126871 to Cedar Lake Dental Center, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1326126871 to Cedar Lake Dental Center, Inc. on 2006-11-01.

As of what date were the Cedar Lake Dental Center, Inc.'s details last updated?

The information pertaining to the Cedar Lake Dental Center, Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.

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