Organization · Type 2 NPI

All About Function, PC

Dental Clinic/Center · Portage, IN

NPI number 1629865837 Active

Practice location

6513 Central Ave
Portage, IN 46368-3101

Mailing address

9 Indian Camp Trl
Ogden Dunes, IN 46368-1002

Other practice locations

  • 3100 Campbell St, Valparaiso, IN 46385-2361 · (219) 224-2373

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1629865837

All About Function, PC's National Provider Identifier is 1629865837, issued on Apr 22, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portage, IN. The record was last updated on Apr 22, 2025.