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Contact Information

32 PEARLS FAMILY DENTISTRY, INC
15045 STATE ROAD 23
GRANGER, IN46530-9666
 Phone: 574-855-3829
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 32 PEARLS FAMILY DENTISTRY INC · (Female)

NPI # 1255712154
Status Active
Credentials
Entity Individual
Enumeration date 06/16/2015
Last updated 06/16/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 12011066A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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