# RELIABLE DENTURE CENTER

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

## Provider details

- **NPI number:** 1427341767
- **Authorized official:** RANDELL E POTTS (OWNER)
- **Authorized official phone:** (219) 962-3000

## Contact information

- **Practice address:** 2370 E 37TH AVE, LAKE STATION, IN 46405-2802
- **Practice address phone:** (219) 962-3000
- **Practice address fax:** (219) 962-9371
- **Mailing address:** 2370 E 37TH AVE, LAKE STATION, IN 46405-2802
- **Mailing address phone:** (219) 962-3000
- **Mailing address fax:** (219) 962-9371

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2011
- **Last updated:** 05/19/2011