# M & P DENTAL

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

## Provider details

- **NPI number:** 1174088942
- **Authorized official:** MARC STOJKOVICH DDS (PARTNER)
- **Authorized official phone:** (219) 384-0487

## Contact information

- **Practice address:** 9337 CALUMET AVE STE C-1, MUNSTER, IN 46321-5805
- **Practice address phone:** (219) 836-2330
- **Mailing address:** 10800 MAINE DR, CROWN POINT, IN 46307-7074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2019
- **Last updated:** 02/21/2019
