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CREATING SMILES PC NPI 1528483021


NPI Information

NPI: 1528483021
Provider Name: CREATING SMILES PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8217 WICKER AVE
ST JOHN, IN
ZIP 46373
Phone: (219) 322-9920
Get Directions

CREATING SMILES PC is a general practice dentist in St John, 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. CREATING SMILES PC NPI is 1528483021. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8217 WICKER AVE
ST JOHN, IN
ZIP 46373
Phone: (219) 322-9920
Fax: (219) 322-2039

The provider's authorized official is Scott A Kapers .
The authorized official title is Dds and has the following contact phone number (219) 322-9920.

The enumeration date for this NPI number is 2/20/2014 and was last updated on 2/20/2014.


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 Practice12011967AINDIANANo
21223G0001XDentistGeneral Practice12009570INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100148080MEDICAIDINDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.