# MERRILLVILLE DENTAL CENTER INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1477192136
- **Authorized official:** DR. TIMOTHY JOHN KAMP DMD MS (OWNER)
- **Authorized official phone:** (219) 333-6166

## Contact information

- **Practice address:** 303 W 89TH AVE STE E2, MERRILLVILLE, IN 46410-6295
- **Practice address phone:** (219) 755-0045
- **Mailing address:** 303 W 89TH AVE STE E2, MERRILLVILLE, IN 46410-6295
- **Mailing address phone:** (219) 755-0045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2019
- **Last updated:** 12/30/2019