| Richard A. Guaccio | |
|
124 E Us Highway 30 Schererville IN 46375-2117 | |
| (219) 865-3050 | |
| (219) 865-3431 |
| Full Name | Richard A. Guaccio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 124 E Us Highway 30, Schererville, Indiana |
| Authorized Official Name and Position | Richard A Guaccio (PRESIDENT) |
| Authorized Official Contact | 2198653050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A. Guaccio 124 E Us Highway 30 Schererville IN 46375-2117 Ph: (219) 865-3050 | Richard A. Guaccio 124 E Us Highway 30 Schererville IN 46375-2117 Ph: (219) 865-3050 |
| NPI Number | 1982724589 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982724589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12006450 (Indiana) | Primary |
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