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PRO DENTAL IN 1 PC
NPI 1316774698
Dentist - General Practice in Hammond, IN

Active since September 19, 2024
1738 165TH ST, HAMMOND, IN 46320(219) 844-8000(219) 844-8008 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pro Dental In 1 Pc NPPES

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

PRO DENTAL IN 1 PC (NPI 1316774698), doing business as Destiny Dental Of Hammond, is a healthcare organization registered as a general practice in Hammond, Indiana and active in the NPI registry since September 2024. The organization lists Simone Wilson-adeleke, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1316774698
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRO DENTAL IN 1 PC
Location Address1738 165TH STHammond, IN 46320-2814
Mailing Address10 Woodbridge Center Dr Ste 520Woodbridge, NJ 07095-1152 · (732) 731-8398
Phone(219) 844-8000
Fax(219) 844-8008
Organization SubpartNo
Authorized OfficialSimone Wilson-adelekeDirector Of Credentialing · (732) 731-8398
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1316774698 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.
1738 165TH ST, Hammond, IN 46320
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Other Names 1

Doing Business AsDestiny Dental Of Hammond

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
Physical Therapist
1738 165TH ST, SUITE A
HAMMOND, IN 46320
Lake County (219) 844-1782
BAO TRUONG DMD
Dentist
1738 165TH ST
HAMMOND, IN 46320
Lake County (219) 844-8000
DR. PARTH PATEL DMD
Dentist (General Practice)
1738 165TH ST
HAMMOND, IN 46320
Lake County (219) 844-8000
D2 DENTAL OF HAMMOND
Dentist (General Practice)
1738 165TH ST, SUITE 300
HAMMOND, IN 46320
Lake County (708) 386-4100
JENNIFER R BURBAGE MSPT
Physical Therapist
1738 165TH ST, SUITE A
HAMMOND, IN 46320
Lake County (219) 844-1782
DANIEL P GREENHILL MPT
Physical Therapist
1738 165TH ST, SUITE A
HAMMOND, IN 46320
Lake County (219) 844-1782

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 Pro Dental In 1 PC's NPI number?

The NPI number for Pro Dental In 1 PC is 1316774698. It was assigned to this organization in the NPPES registry on September 19, 2024. The provider is doing business as Destiny Dental of Hammond.

Where is Pro Dental In 1 PC located?

Pro Dental In 1 PC is located at 1738 165th St, Hammond, IN 46320. The listed phone number is (219) 844-8000.

What is Pro Dental In 1 PC'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 Pro Dental In 1 PC was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.