Organization
JAY PLATT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY C PLATT D.D.S. (PRESIDENT)
(219) 864-1133
Entity
Organization
Contact information
Practice address
322 INDIANAPOLIS BOULEVARD, SUITE 100, SCHERERVILLE, IN 46375-2656
(219) 864-1133
(219) 864-9203
Mailing address
322 INDIANAPOLIS BOULEVARD, SUITE 100, SCHERERVILLE, IN 46375-2656
(219) 864-1133
(219) 864-9203
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12008814A
IN
Other
Enumeration date
06/20/2007
Last updated
08/22/2007
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