# NIKKI A WARGO DDS

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

## Provider details

- **NPI number:** 1518085992
- **Authorized official:** NIKKI ANN WARGO DDS (DDS)
- **Authorized official phone:** (219) 962-3000

## Contact information

- **Practice address:** 2370 E 37TH AVE, LAKE STATION, IN 46405
- **Practice address phone:** (219) 962-3000
- **Practice address fax:** (219) 962-9571
- **Mailing address:** 8430 INDIANA ST, MERRILLVILLE, IN 46410-6357
- **Mailing address phone:** (219) 756-6214
- **Mailing address fax:** (219) 756-6214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12010645A | IN | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020