Arch Complete Family Dental Group, INC.
Clinic/Center, Dental in Crown Point, IN. Organization (NPI-2).
NPI number1831601566
StatusActive
Last updated in NPPESNov 3, 2017
Details
- NPI
- 1831601566
- Entity type
- Organization (NPI-2)
- Legal business name
- Arch Complete Family Dental Group, INC.
- Organization subpart
- No
- Enumeration date
- Nov 3, 2017
- Last updated
- Nov 3, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
123 E 113th AveCrown Point, IN 46307-9706
Phone 219-310-8807 · Fax 219-779-9437
Mailing address
123 E 113th AveCrown Point, IN 46307-9706
Phone 219-310-8807 · Fax 219-779-9437
Authorized official
Justyn Anthony Arch
President
2193108807
Is something wrong?
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