| Cedar Lake Dental, Inc. | |
|
13136 Lake Shore Dr Cedar Lake IN 46303-9576 | |
| (219) 323-6777 | |
| Not Available |
| Full Name | Cedar Lake Dental, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 13136 Lake Shore Dr, Cedar Lake, Indiana |
| Authorized Official Name and Position | Ian Hoffman (OWNER) |
| Authorized Official Contact | 7738202587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Lake Dental, Inc. 1926 N Lincoln Park W Apt 3b Chicago IL 60614-8017 Ph: (773) 820-2587 | Cedar Lake Dental, Inc. 13136 Lake Shore Dr Cedar Lake IN 46303-9576 Ph: (219) 323-6777 |
| NPI Number | 1538956750 |
|---|---|
| Provider Enumeration Date | 04/22/2025 |
| Last Update Date | 04/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538956750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Detailed Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13963 Morse St, Cedar Lake, IN 46303 Phone: 219-374-2400 | |
Cedar Lake Dental Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13955 Morse St, Cedar Lake, IN 46303 Phone: 219-374-5591 Fax: 219-662-2573 | |
Moody Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13955 Morse St, Cedar Lake, IN 46303 Phone: 219-374-5591 Fax: 219-374-5592 |