# NIKKI WARGO DDS INC

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

## Provider details

- **NPI number:** 1548380215
- **Authorized official:** DR. NIKKI ANN WARGO DDS (PRESIDENT)
- **Authorized official phone:** (219) 756-6214

## Contact information

- **Practice address:** 1452 E 85TH AVE, MERRILLVILLE, IN 46410-8905
- **Practice address phone:** (219) 756-6214
- **Practice address fax:** (219) 756-6214
- **Mailing address:** 1452 E 85TH AVE, MERRILLVILLE, IN 46410-8905
- **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:** 03/29/2007
- **Last updated:** 03/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200490450 | — | IN |