# 5TH AVE DENTAL INC.

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

## Provider details

- **NPI number:** 1396136511
- **Authorized official:** DR. AMIT SAPARIA D.D.S. (PRESIDENT)
- **Authorized official phone:** (708) 359-2068

## Contact information

- **Practice address:** 1619 W 5TH AVE, GARY, IN 46404-1506
- **Practice address phone:** (708) 359-2068
- **Mailing address:** 814 W CHICAGO AVE, EAST CHICAGO, IN 46312-3307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12011381 | IN | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 02/10/2015