# ASSOCIATED DENTISTS OF NORTHWEST INDIANA 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:** 1588703250
- **Authorized official:** MISS MATILDA PEREZ (OFFICE MANAGER PRESIDENT)
- **Authorized official phone:** (219) 769-6444

## Contact information

- **Practice address:** 500 WEST LINCOLN HWY, SUITE N, MERRILLVILLE, IN 46410
- **Practice address phone:** (219) 769-6444
- **Practice address fax:** (219) 755-4790
- **Mailing address:** 500 WEST LINCOLN HWY, SUITE N, MERRILLVILLE, IN 46410
- **Mailing address phone:** (219) 769-6444
- **Mailing address fax:** (219) 755-4790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 12008668A | IN | Yes |
| 1223E0200X | Endodontics | 12009309A | IN | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020