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DETAILED DENTAL
NPI 1215267661
Dentist in Cedar Lake, IN

Active since January 07, 2010
13963 MORSE ST, CEDAR LAKE, IN 46303(219) 374-2400 Get Directions Write a Review

NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Detailed Dental NPPES

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

DETAILED DENTAL (NPI 1215267661) is a healthcare organization registered as a dentist in Cedar Lake, Indiana and active in the NPI registry since January 2010. The organization lists Christine Gudas, Owner, as its authorized official.

NPPES Registry Identity

NPI1215267661
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDETAILED DENTAL
Location Address13963 MORSE STCedar Lake, IN 46303-9639
Mailing Address13963 Morse StCedar Lake, IN 46303-9639 · (219) 374-2400
Phone(219) 374-2400
Organization SubpartNo
Authorized OfficialChristine GudasOwner · (219) 374-2400
Enumeration DateJanuary 7, 2010
✔ NPI 1215267661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12011020
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
13963 MORSE ST, Cedar Lake, IN 46303
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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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMI ISMAIL DO
Family Medicine
13963 MORSE ST
CEDAR LAKE, IN 46303
Lake County (219) 374-5555
DR. GEORGE WILLIAM HARPER D.D.S.
Dentist (General Practice)
13963 MORSE ST, SUITE A
CEDAR LAKE, IN 46303
Lake County (219) 374-2400
AMANDA STOLARZ MSN, FNP-C
Nurse Practitioner (Family)
13963 MORSE ST
CEDAR LAKE, IN 46303
Lake County (219) 374-5555
LAUREN LOCKE
Nurse Practitioner (Family)
13963 MORSE ST
CEDAR LAKE, IN 46303
Lake County (219) 374-5555
JON D. MISCH, D.O.,P.C.
General Practice
13963 MORSE ST
CEDAR LAKE, IN 46303
Lake County (219) 374-5555

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 Detailed Dental's NPI number?

The NPI number for Detailed Dental is 1215267661. It was assigned to this organization in the NPPES registry on January 7, 2010.

Where is Detailed Dental located?

Detailed Dental is located at 13963 Morse St, Cedar Lake, IN 46303. The listed phone number is (219) 374-2400.

What is Detailed Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Detailed Dental was last updated on January 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.