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LAKE RIDGE PEDIATRIC DENTISTRY, INC
NPI 1891486841
Dentist - Pediatric Dentistry in Munster, IN

Active since May 18, 2023
620 RIDGE RD, MUNSTER, IN 46321(219) 228-8588 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Ridge Pediatric Dentistry, Inc NPPES

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

LAKE RIDGE PEDIATRIC DENTISTRY, INC (NPI 1891486841) is a healthcare organization registered as a pediatric dentistry in Munster, Indiana and active in the NPI registry since May 2023. The organization lists Brandon David Cesario, Dentist, as its authorized official.

NPPES Registry Identity

NPI1891486841
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLAKE RIDGE PEDIATRIC DENTISTRY, INC
Location Address620 RIDGE RDMunster, IN 46321-1610
Mailing Address620 Ridge RdMunster, IN 46321-1610 · (219) 228-8588
Phone(219) 228-8588
Organization SubpartNo
Authorized OfficialBrandon David CesarioDentist · (219) 228-8588
Enumeration DateMay 18, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1891486841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
620 RIDGE RD, Munster, IN 46321
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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 2

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

TOTAL IN HOME SERVICES LLC
In Home Supportive Care
620 RIDGE RD
MUNSTER, IN 46321
Lake County (219) 937-2811
TOTAL REHABILITATION SERVICES
Clinic/Center (Rehabilitation)
620 RIDGE RD
MUNSTER, IN 46321
Lake County (219) 588-8305

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 Lake Ridge Pediatric Dentistry, Inc's NPI number?

The NPI number for Lake Ridge Pediatric Dentistry, Inc is 1891486841. It was assigned to this organization in the NPPES registry on May 18, 2023.

Where is Lake Ridge Pediatric Dentistry, Inc located?

Lake Ridge Pediatric Dentistry, Inc is located at 620 Ridge Rd, Munster, IN 46321. The listed phone number is (219) 228-8588.

What is Lake Ridge Pediatric Dentistry, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Lake Ridge Pediatric Dentistry, Inc was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.