EON CLINICS INDIANA LLC NPI 1538410451

NPI Information

  • NPI: 1538410451
  • Provider Name: EON CLINICS INDIANA LLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 10020 CALUMET AVE
    MUNSTER, IN
    ZIP 46321
  • Phone: (219) 924-5022

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NPI Details

EON CLINICS INDIANA LLC is an oral and maxillofacial surgery dentist in Munster, IN. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. EON CLINICS INDIANA LLC NPI is 1538410451. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10020 CALUMET AVE
MUNSTER, IN
ZIP 46321-055
Phone: (219) 924-5022

The provider's authorized official is Rajan Sharma .
The authorized official title is President and has the following contact phone number (219) 924-5022.

The enumeration date for this NPI number is 10/2/2012 and was last updated on 10/2/2012.

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
11223P0300XDentistPeriodontics021001569ILLINOISNo
21223P0700XDentistProsthodontics021001569ILLINOISNo
31223S0112XDentistOral and Maxillofacial Surgery021001569ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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