# SARVER FAMILY DENTAL

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

## Provider details

- **NPI number:** 1396365201
- **Authorized official:** MR. DAVID DAUBEK (MANAGER)
- **Authorized official phone:** (219) 850-1218

## Contact information

- **Practice address:** 6035 STERLING CREEK RD, PORTAGE, IN 46368-7752
- **Practice address phone:** (219) 850-1218
- **Practice address fax:** (219) 762-0067
- **Mailing address:** 6035 STERLING CREEK RD, PORTAGE, IN 46368-7752
- **Mailing address phone:** (219) 850-1218

## Taxonomy

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

## Other

- **Enumeration date:** 04/21/2020
- **Last updated:** 04/27/2020