Organization
PEDIATRIC DENTISTRY OF NORTHWEST INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY G. SCHECHNER D.D.S. (PRESIDENT)
(219) 838-2007
Entity
Organization
Contact information
Practice address
2833 LINCOLN ST, SUITE 1, HIGHLAND, IN 46322-1924
(219) 838-2007
(219) 972-5267
Mailing address
2833 LINCOLN ST, SUITE 1, HIGHLAND, IN 46322-1924
(219) 838-2007
(219) 972-5267
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12008141A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130765
UNITED CONCORDIA
IN
01
—
155777
CHILDRENS SPECIAL HEALTH
IN
Enumeration date
07/12/2006
Last updated
08/22/2020
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