Northwest Pediatric Dental LLC
Northwest Pediatric Dental LLC is a General Practice Dentistry in St John, Indiana. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8217 Wicker AveSt John, IN 46373
Phone: (219) 440-1710
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X |
Record details
| NPI number | 1982433819 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Mitsos — Owner · (219) 440-1710 |
| Other names | Southwest Pediatric Dental |
| NPI enumerated | July 30, 2024 |
| Last updated in NPPES | October 3, 2024 |
| Certification date | October 3, 2024 |
| Mailing address | 8217 Wicker Ave, St. John, IN 46373 |
Other providers in St John
-
Creating Smiles PC
8217 Wicker Ave, St John, IN 46373 · (219) 322-9920
-
St John Premier Dental
10271 Calumet Ave #103, St John, IN 46373 · (219) 627-7000