| Oak Ridge Dental & Surgery, Llc | |
|
5815 Calumet Ave Hammond IN 46320-2352 | |
| (219) 285-3016 | |
| Not Available |
| Full Name | Oak Ridge Dental & Surgery, Llc |
|---|---|
| Speciality | Dentist |
| Location | 5815 Calumet Ave, Hammond, Indiana |
| Authorized Official Name and Position | Muzaffar M Shah-khan (CEO/OWNER) |
| Authorized Official Contact | 2192853016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Ridge Dental & Surgery, Llc 5815 Calumet Ave Hammond IN 46320-2352 Ph: (219) 285-3016 | Oak Ridge Dental & Surgery, Llc 5815 Calumet Ave Hammond IN 46320-2352 Ph: (219) 285-3016 |
| NPI Number | 1720556749 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720556749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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