| Susan L Royer Dds Pc | |
|
9291 E 109th Ave Crown Point IN 46307-8676 | |
| (219) 663-4024 | |
| Not Available |
| Full Name | Susan L Royer Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9291 E 109th Ave, Crown Point, Indiana |
| Authorized Official Name and Position | Susan Royer (OWNER/CEO) |
| Authorized Official Contact | 2196634024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L Royer Dds Pc 2587 W 65th Ave Merrillville IN 46410-2833 Ph: (219) 663-4024 | Susan L Royer Dds Pc 9291 E 109th Ave Crown Point IN 46307-8676 Ph: (219) 663-4024 |
| NPI Number | 1700295771 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700295771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12009289 (Indiana) | Primary |
| 261QD0000X | Clinic/center - Dental | 019022078 (Illinois) | Secondary |
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