| Gope Dental P.c | |
|
9042 Columbia Ave Ste A Munster IN 46321-2928 | |
| (301) 542-3589 | |
| Not Available |
| Full Name | Gope Dental P.c |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9042 Columbia Ave Ste A, Munster, Indiana |
| Authorized Official Name and Position | Sanjeev Gope (PRESIDENT) |
| Authorized Official Contact | 3015423589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gope Dental P.c 69 W Kennedy Ln Hinsdale IL 60521-4586 Ph: (301) 542-3589 | Gope Dental P.c 9042 Columbia Ave Ste A Munster IN 46321-2928 Ph: (301) 542-3589 |
| NPI Number | 1770280331 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770280331 | NPI | - | NPPES |
| 1669929931 | Medicaid | IL | |
| 1639511017 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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