# REPAY DENTAL LLC

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

## Provider details

- **NPI number:** 1447759519
- **Authorized official:** BRIANNE STOJKOVICH (OFFICE MANAGER)
- **Authorized official phone:** (219) 595-3432

## Contact information

- **Practice address:** 1934 45TH STREET, MUNSTER, IN 46321
- **Practice address phone:** (219) 595-3432
- **Practice address fax:** (219) 951-4245
- **Mailing address:** 1934 45TH STREET, MUNSTER, IN 46321
- **Mailing address phone:** (219) 595-3432
- **Mailing address fax:** (219) 951-4245

## Taxonomy

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

## Other

- **Enumeration date:** 02/05/2018
- **Last updated:** 02/05/2018