| Challgren Dentistry PC | |
|
170 Professional Ct Lafayette IN 47905-5153 | |
| (765) 446-9606 | |
| (765) 446-9699 |
| Full Name | Challgren Dentistry PC |
|---|---|
| Speciality | Dentist |
| Location | 170 Professional Ct, Lafayette, Indiana |
| Authorized Official Name and Position | Erik Challgren (PRESIDENT) |
| Authorized Official Contact | 7654469606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Challgren Dentistry PC 170 Professional Ct Lafayette IN 47905-5153 Ph: (765) 446-9606 | Challgren Dentistry PC 170 Professional Ct Lafayette IN 47905-5153 Ph: (765) 446-9606 |
| NPI Number | 1649676354 |
|---|---|
| Provider Enumeration Date | 11/06/2014 |
| Last Update Date | 11/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649676354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54001793A (Indiana) | Primary |
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