# MICHIGAN CITY DENTAL, P.C.

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

## Provider details

- **NPI number:** 1932267515
- **Authorized official:** DR. THOMAS C. STOKES II D.D.S. (PRESIDENT)
- **Authorized official phone:** (219) 874-7224

## Contact information

- **Practice address:** 4212 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-3131
- **Practice address phone:** (219) 874-4449
- **Practice address fax:** (219) 879-8153
- **Mailing address:** 4212 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-3131
- **Mailing address phone:** (219) 874-4449
- **Mailing address fax:** (219) 879-8153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/22/2020
