Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Head and Neck Diagnostic Associates, PC

Organization Dentist · NPI 1205884079

Head and Neck Diagnostic Associates, PC is a Dentist in Rensselaer, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

331 E Amsler Rd
Rensselaer, IN 47978-8591
Phone: (800) 711-8885
Fax: (219) 866-8658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 54000437 (IN)

Record details

NPI number1205884079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Klockow — President · (800) 711-8885
NPI enumeratedMay 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address331 E Amsler Rd, Rensselaer, IN 47978-8591

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