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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

ST. JOHN PREMIER DENTAL
NPI 1093633133
Dentist - General Practice in St. John, IN

Active since July 07, 2026
10271 CALUMET AVE., #103, ST. JOHN, IN 46373(219) 627-7000(219) 627-9627 Get Directions Write a Review

NPPES record added: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. John Premier Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JOHN PREMIER DENTAL (NPI 1093633133) is a healthcare organization registered as a general practice in St. John, Indiana and active in the NPI registry since July 2026. The organization lists Peter William Straka, Owner, as its authorized official.

NPPES Registry Identity

NPI1093633133
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameST. JOHN PREMIER DENTAL
Location Address10271 CALUMET AVE., #103St. John, IN 46373
Mailing Address10271 Calumet Ave., #103St. John, IN 46373 · (219) 627-7000 · Fax (219) 627-9627
Phone(219) 627-7000
Fax(219) 627-9627
Organization SubpartNo
Authorized OfficialPeter William StrakaOwner · (219) 627-7000
Enumeration DateJuly 7, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1093633133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
10271 CALUMET AVE., St. John, IN 46373
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. John Premier Dental's NPI number?

The NPI number for St. John Premier Dental is 1093633133. It was assigned to this organization in the NPPES registry on July 7, 2026.

Where is St. John Premier Dental located?

St. John Premier Dental is located at 10271 Calumet Ave. #103, St. John, IN 46373. The listed phone number is (219) 627-7000.

What is St. John Premier Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for St. John Premier Dental was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.