Michigan City Family Dentistry in Michigan City - Periodontics
Michigan City Family Dentistry - NPI 1124221833
Michigan City Family Dentistry is a Periodontics in Michigan City, Indiana. Michigan City Family Dentistry practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Michigan City Family Dentistry is 1124221833. The last update date is 2020-08-22.
Michigan City Family Dentistry's current location address is 332 Dunes Plz, Michigan City, Indiana. You can contact this provider via phone number 2198717171 and fax number 2198710603. The mailing address for Michigan City Family Dentistry is 332 Dunes Plz, Michigan City, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michigan City Family Dentistry |
|---|---|
| Address | 332 Dunes Plz, Michigan City, Indiana |
| Phone Number | 2198717171 |
| Fax Number | 2198710603 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Ayangade Denise Creshinda |
| Credentials | DMD |
| Telephone Number | 2198717171 |
NPI Number Detail
| NPI Number | 1124221833 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 332 Dunes Plz |
|---|---|
| City | Michigan City |
| State | Indiana (IN) |
| Post Code | 463607342 |
| Phone Number | 2198717171 |
| Fax Number | 2198710603 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Post Comment/ Review Below
What is the Michigan City Family Dentistry's 1124221833?
The Michigan City Family Dentistry's NPI (National Provider Identifier) Number is 1124221833. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michigan City Family Dentistry's physical address?
The Michigan City Family Dentistry is physically located at 332 Dunes Plz, in the city of Michigan City, IN, with the postal code 463607342.
What is Michigan City Family Dentistry's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michigan City Family Dentistry's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124221833 to Michigan City Family Dentistry?
The Michigan City Family Dentistry received its 1124221833 assignment from the Centers for Medicare & Medicaid Services on 2007-06-08.
When was the information regarding Michigan City Family Dentistry most recently updated?
The details pertaining to the Michigan City Family Dentistry, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.