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Organization
DAVID P. LADD, D.D.S., PD
Active
Organization
DAVID P. LADD, D.D.S., PD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PAUL LADD D.D.S. (PRESIDENT)
(219) 322-3118
Entity
Organization
Contact information
Practice address
551 W US HIGHWAY 30, SCHERERVILLE, IN 46375-2650
(219) 322-3118
(219) 322-2763
Mailing address
551 W. LINCOLN HIGHWAY, SCHERERVILLE, IN 46375
(219) 322-3118
(219) 322-2763
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010573A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200451280
—
IN
Enumeration date
04/26/2016
Last updated
04/26/2016
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