# PREMIER DENTAL GROUP PC

> 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:** 1497862825
- **Authorized official:** DR. STEVEN D COPPES DDS (PRESIDENT)
- **Authorized official phone:** (219) 736-2273

## Contact information

- **Practice address:** 7891 BROADWAY, STE C, MERRILLVILLE, IN 46410
- **Practice address phone:** (219) 736-2273
- **Practice address fax:** (219) 769-5233
- **Mailing address:** 7891 BROADWAY, STE C, MERRILLVILLE, IN 46410
- **Mailing address phone:** (219) 736-2273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 09/22/2008