Lakeshore Family Dental, P.C. in Michigan City - General Practice

Lakeshore Family Dental, P.C. - NPI 1053411645

Lakeshore Family Dental, P.C. is a General Practice in Michigan City, Indiana. Lakeshore Family Dental, P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lakeshore Family Dental, P.C. is 1053411645. The last update date is 2020-08-22.

Lakeshore Family Dental, P.C.'s current location address is 1232 E Michigan Blvd, Michigan City, Indiana. You can contact this provider via phone number 2198722116 and fax number 2198747087. The mailing address for Lakeshore Family Dental, P.C. is 1232 E Michigan Blvd, Michigan City, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lakeshore Family Dental, P.C.
Address 1232 E Michigan Blvd, Michigan City, Indiana
Phone Number 2198722116
Fax Number 2198747087
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Noreika Thomas Vidas
Credentials D.D.S.
Telephone Number 2198722116

NPI Number Detail

NPI Number 1053411645
Provider Enumeration Date 2006-09-23
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1232 E Michigan Blvd
City Michigan City
State Indiana (IN)
Post Code 463604856
Phone Number 2198722116
Fax Number 2198747087

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 54001178A
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 Lakeshore Family Dental, P.C.

What is the Lakeshore Family Dental, P.C.'s 1053411645?

The Lakeshore Family Dental, P.C.'s NPI (National Provider Identifier) Number is 1053411645. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Lakeshore Family Dental, P.C. is physically located?

The Lakeshore Family Dental, P.C. is physically situated at the following address: 1232 E Michigan Blvd, Michigan City, IN, 463604856.

What is Lakeshore Family Dental, P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lakeshore Family Dental, P.C. is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1053411645 to Lakeshore Family Dental, P.C.?

The Centers for Medicare & Medicaid Services assigned the 1053411645 to Lakeshore Family Dental, P.C. on 2006-09-23.

As of what date was the information pertaining to Lakeshore Family Dental, P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lakeshore Family Dental, P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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