# DENTAL CENTER (MERRILLVILLE) P.C.

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

## Provider details

- **NPI number:** 1326162132
- **Authorized official:** MIKE COLE (INSURANCE DIRECTOR)
- **Authorized official phone:** (727) 726-1611

## Contact information

- **Practice address:** 155 W 86TH AVE STE A, MERRILLVILLE, IN 46410-6192
- **Practice address phone:** (219) 685-8665
- **Mailing address:** 155 W 86TH AVE STE A, MERRILLVILLE, IN 46410-6192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020