Organization · Type 2 NPI

St. John Premier Dental

General Practice Dentistry · St. John, IN

NPI number 1093633133 Active

Practice location

10271 Calumet Ave., #103
St. John, IN 46373

Fax (219) 627-9627

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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.

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About NPI 1093633133

St. John Premier Dental's National Provider Identifier is 1093633133, issued on Jul 7, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. John, IN. The record was last updated on Jul 7, 2026.