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

Lake Ridge Pediatric Dentistry, Inc

Organization Pediatric Dentistry · NPI 1891486841

Lake Ridge Pediatric Dentistry, Inc is a Pediatric Dentistry in Munster, Indiana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

620 Ridge Rd
Munster, IN 46321-1610
Phone: (219) 228-8588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1891486841
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Cesario — Dentist · (219) 228-8588
NPI enumeratedMay 18, 2023
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023
Mailing address620 Ridge Rd, Munster, IN 46321-1610

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