# POLUS DENTAL

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

## Provider details

- **NPI number:** 1083707566
- **Authorized official:** DR. PHILIP G. POLUS D.D.S. (DR.)
- **Authorized official phone:** (219) 662-0131

## Contact information

- **Practice address:** 1549 SOUTH COURT STREET, SUITE B, CROWN POINT, IN 46307-4809
- **Practice address phone:** (219) 662-0131
- **Practice address fax:** (219) 662-3962
- **Mailing address:** 1549 SOUTH COURT STREET, SUITE B, CROWN POINT, IN 46307-4809
- **Mailing address phone:** (219) 662-0131
- **Mailing address fax:** (219) 662-3962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8055 | IN | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 02/21/2018