# THE IVORY DENTAL STUDIO

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

## Provider details

- **NPI number:** 1326725813
- **Authorized official:** DR. BRITTNEY ANN JASEK DMD (MEMBER / GENERAL DENTIST)
- **Authorized official phone:** (224) 234-9304

## Contact information

- **Practice address:** 1906 US HIGHWAY 41, SUITE A, SCHERERVILLE, IN 46375
- **Practice address phone:** (219) 554-8679
- **Practice address fax:** (219) 554-8679
- **Mailing address:** 1114 BARRINGTON CT, SCHERERVILLE, IN 46375-1388
- **Mailing address phone:** (224) 234-9304

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2023
- **Last updated:** 06/28/2023