| St. John Premier Dental | |
|
10271 Calumet Ave. #103 St. John IN 46373 | |
| (219) 627-7000 | |
| (219) 627-9627 |
| Full Name | St. John Premier Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10271 Calumet Ave., St. John, Indiana |
| Authorized Official Name and Position | Peter William Straka (OWNER) |
| Authorized Official Contact | 2196277000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. John Premier Dental 10271 Calumet Ave. #103 St. John IN 46373 Ph: (219) 627-7000 | St. John Premier Dental 10271 Calumet Ave. #103 St. John IN 46373 Ph: (219) 627-7000 |
| NPI Number | 1093633133 |
|---|---|
| Provider Enumeration Date | 07/07/2026 |
| Last Update Date | 07/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093633133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Northwest Pediatric Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8217 Wicker Ave, St. John, IN 46373 Phone: 219-440-1710 |