Individual
DR. JOHN MARTIN ROPER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9250 COLUMBIA AVE, ST 1A, MUNSTER, IN 46321
(219) 836-4166
Mailing address
11745 S OAKRIDGE, ST JOHN, IN 46373
(219) 365-5083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008170A
IN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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