Organization
DAVID P. LADD, D.D.S., PD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PAUL LADD D.D.S. (PRESIDENT)
(219) 322-3118
Entity
Organization
Contact information
Practice address
551 W US HIGHWAY 30, SCHERERVILLE, IN 46375-2650
(219) 322-3118
(219) 322-2763
Mailing address
551 W. LINCOLN HIGHWAY, SCHERERVILLE, IN 46375
(219) 322-3118
(219) 322-2763
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010573A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200451280
—
IN
Enumeration date
04/26/2016
Last updated
04/26/2016
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