Individual provider · Type 1 NPI

John Thomas Lisac, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Munster, IN

NPI number 1629189071 Active

Practice location

8231 Calumet Ave
Munster, IN 46321-1703

Call (219) 836-0888 Map

Fax (219) 836-8855

Mailing address

8441 Lantern View Ln
St. John, IN 46373-9392

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X12009410A (IN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1629189071

John Thomas Lisac, DDS's National Provider Identifier is 1629189071, issued on Aug 31, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Munster, IN. The record was last updated on Jul 8, 2007.