# MARK DANKOWSKI, DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023354370
- **Authorized official:** DR. MARK DANKOWSKI DMD (OWNER)
- **Authorized official phone:** (219) 947-2581

## Contact information

- **Practice address:** 8080 UTAH ST, MERRILLVILLE, IN 46410-6502
- **Practice address phone:** (219) 947-2581
- **Practice address fax:** (219) 947-4636
- **Mailing address:** 8080 UTAH ST, MERRILLVILLE, IN 46410-6502
- **Mailing address phone:** (219) 947-2581
- **Mailing address fax:** (219) 947-4636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12010869A | IN | Yes |

## Other

- **Enumeration date:** 12/13/2012
- **Last updated:** 12/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200893170 | — | IN |