| John L. Havlick, D.d.s. | |
|
1302 Vale Park Rd Valparaiso IN 46383-2722 | |
| (219) 462-0780 | |
| (219) 464-0229 |
| Full Name | John L. Havlick, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1302 Vale Park Rd, Valparaiso, Indiana |
| Authorized Official Name and Position | Tara L. Pritchard (OFFICE MANAGER) |
| Authorized Official Contact | 2194620780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John L. Havlick, D.d.s. 1302 Vale Park Rd Valparaiso IN 46383-2722 Ph: (219) 462-0780 | John L. Havlick, D.d.s. 1302 Vale Park Rd Valparaiso IN 46383-2722 Ph: (219) 462-0780 |
| NPI Number | 1740454230 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740454230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007779A (Indiana) | Primary |
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