| Dr Min Chul Kwon, DDS | |
|
6910 N Main St, Unit 6b, Granger, IN 46530-9681 | |
| (574) 247-2521 | |
| Not Available |
| Full Name | Dr Min Chul Kwon |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 6910 N Main St, Granger, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437112380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17583 (Michigan) | Secondary |
| 1223G0001X | Dentist - General Practice | 12011206 (Indiana) | Primary |
| Entity Name | Intercare Community Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326058512 PECOS PAC ID: 9537061254 Enrollment ID: O20040223000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Min Chul Kwon, DDS 6910 N Main St, Unit 6b, Granger, IN 46530-9681 Ph: (574) 247-2521 | Dr Min Chul Kwon, DDS 6910 N Main St, Unit 6b, Granger, IN 46530-9681 Ph: (574) 247-2521 |
Avis Lorraine Barker, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 50648 Weeping Willow Run E, Granger, IN 46530 Phone: 765-532-7019 | |
Dr. James V Macri, D.D.S., M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 51565 Bittersweet Road, Granger, IN 46530 Phone: 574-277-1211 Fax: 574-277-5812 | |
Dr. Doris E. Collins, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 15736 Fieldcrest Ct, Granger, IN 46530 Phone: 574-387-4663 | |
Dr. Kathleen D Twyner Coley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16273 Cypress Ct, Granger, IN 46530 Phone: 563-322-7059 Fax: 563-328-8936 | |
Kevin Thomas Campbell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main St Unit 58, Granger, IN 46530 Phone: 574-277-4235 Fax: 574-277-5189 | |
Dr. Thomas Patrick Lynch, Dentist Medicare: Not Enrolled in Medicare Practice Location: 925 E University Dr, Granger, IN 46530 Phone: 574-277-7733 |