# ST. JOHN PREMIER DENTAL

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

## Provider details

- **NPI number:** 1093633133
- **Authorized official:** DR. PETER WILLIAM STRAKA DMD (OWNER)
- **Authorized official phone:** (219) 627-7000

## Contact information

- **Practice address:** 10271 CALUMET AVE., \#103, ST. JOHN, IN 46373
- **Practice address phone:** (219) 627-7000
- **Practice address fax:** (219) 627-9627
- **Mailing address:** 10271 CALUMET AVE., \#103, ST. JOHN, IN 46373
- **Mailing address phone:** (219) 627-7000
- **Mailing address fax:** (219) 627-9627

## Taxonomy

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

## Other

- **Enumeration date:** 07/07/2026
- **Last updated:** 07/07/2026