# MARTELL POLITE DENTAL PC

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

## Provider details

- **NPI number:** 1467548420
- **Authorized official:** NICOLETTE POLITE DDS (PRESIDENT)
- **Authorized official phone:** (219) 836-2330

## Contact information

- **Practice address:** 9337 CALUMET AVENUE, MUNSTER, IN 46321
- **Practice address phone:** (219) 836-2330
- **Mailing address:** 9337 CALUMET AVENUE, MUNSTER, IN 46321
- **Mailing address phone:** (219) 836-2330

## Taxonomy

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

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020