Elias Arthur Macis, DMD
Dentist in Crown Point, IN. Individual provider (NPI-1).
NPI number1164077046
StatusActive
Last updated in NPPESJul 21, 2023
Details
- NPI
- 1164077046
- Entity type
- Individual (NPI-1)
- Name
- Mr. Elias Arthur Macis
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2019
- Certification date
- Jul 21, 2023
- Last updated
- Jul 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12013217A | IN | Yes |
Practice location
9150 E. 109th Ave. Ste. BCrown Point, IN 46307
Phone 219-661-5085 · Fax 219-661-5087
Mailing address
9150 E. 109th Ave. Ste. 3bCrown Point, IN 46307
Phone 219-576-7958
Other practice locations
901 Fran Lin Pkwy
Munster, IN 46321-3540
Munster, IN 46321-3540
Phone 219-552-8561
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- Derek Robert Berquist, DMDNPI 1255889788
- Kristin J Collard, DDSNPI 1861669905
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All 23 Dentist providers in Crown Point · All 1,805 providers in Crown Point
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