# MADE DENTAL PC

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

## Provider details

- **NPI number:** 1154043297
- **Authorized official:** ANTHONY PALLOTTO DDS (OWNER)
- **Authorized official phone:** (708) 228-8224

## Contact information

- **Practice address:** 2213 MAIN ST UNIT 2B, HIGHLAND, IN 46322-3514
- **Practice address phone:** (219) 258-7076
- **Mailing address:** 2213 MAIN ST UNIT 2B, HIGHLAND, IN 46322-3514
- **Mailing address phone:** (219) 258-7076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2022
- **Last updated:** 09/15/2022