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Organization
CREATING SMILES PC
Active
Organization
CREATING SMILES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A KAPERS DDS (DDS)
(219) 322-9920
Entity
Organization
Contact information
Practice address
8217 WICKER AVE, ST JOHN, IN 46373
(219) 322-9920
(219) 322-2039
Mailing address
8217 WICKER AVE, ST JOHN, IN 46373
(219) 322-9920
(219) 322-2039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009570
IN
1223G0001X
General Practice Dentistry
12011967A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100148080
—
IN
Enumeration date
02/20/2014
Last updated
02/20/2014
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