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HILLCREST FAMILY DENTAL CENTER P.C. NPI 1033177274


NPI Information

NPI: 1033177274
Provider Name: HILLCREST FAMILY DENTAL CENTER , P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
331 E AMSLER RD
RENSSELAER, IN
ZIP 47978
Phone: (219) 866-7117
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HILLCREST FAMILY DENTAL CENTER , P.C. is a general practice dentist in Rensselaer, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HILLCREST FAMILY DENTAL CENTER , P.C. NPI is 1033177274. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

331 E AMSLER RD
RENSSELAER, IN
ZIP 47978-591
Phone: (219) 866-7117
Fax: (219) 866-8658

The provider's authorized official is Raymond Gordon Klockow .
The authorized official title is President and has the following contact phone number (219) 866-7117.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice5400-1122INDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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