# JAY PLATT DDS PC

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

## Provider details

- **NPI number:** 1548465339
- **Authorized official:** DR. JAY C PLATT D.D.S. (PRESIDENT)
- **Authorized official phone:** (219) 864-1133

## Contact information

- **Practice address:** 322 INDIANAPOLIS BOULEVARD, SUITE 100, SCHERERVILLE, IN 46375-2656
- **Practice address phone:** (219) 864-1133
- **Practice address fax:** (219) 864-9203
- **Mailing address:** 322 INDIANAPOLIS BOULEVARD, SUITE 100, SCHERERVILLE, IN 46375-2656
- **Mailing address phone:** (219) 864-1133
- **Mailing address fax:** (219) 864-9203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12008814A | IN | Yes |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 08/22/2007