| Granger Dental & Orthodontics | |
|
14911 State Road 23 Granger IN 46530-7564 | |
| (574) 221-8841 | |
| Not Available |
| Full Name | Granger Dental & Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14911 State Road 23, Granger, Indiana |
| Authorized Official Name and Position | Ronald C Abaro (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5742218841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granger Dental & Orthodontics 14911 State Road 23 Granger IN 46530-7564 Ph: (574) 221-8841 | Granger Dental & Orthodontics 14911 State Road 23 Granger IN 46530-7564 Ph: (574) 221-8841 |
| NPI Number | 1285351254 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285351254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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