Organization
ERIC LADD, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE JOHNSON (OFFICE MANAGER)
(219) 322-5090
Entity
Organization
Contact information
Practice address
555 W US HIGHWAY 30, SCHERERVILLE, IN 46375-2650
(219) 322-5090
(219) 322-4095
Mailing address
555 W US HIGHWAY 30, SCHERERVILLE, IN 46375-2650
(219) 322-5090
(219) 322-4095
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12009030A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202100A
—
IN
Enumeration date
09/21/2016
Last updated
09/21/2016
Update your record
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