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Michael Deek

Dentist in Crown Point, IN. Individual provider (NPI-1).

NPI number1972345809
StatusActive
Last updated in NPPESMar 22, 2025

Details

NPI
1972345809
Entity type
Individual (NPI-1)
Name
Michael Deek
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 11, 2024
Certification date
Mar 22, 2025
Last updated
Mar 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist12014467AINYes
122300000X Dentist019035133IL

Practice location

700 N Main St
Crown Point, IN 46307-3236

Phone 219-663-2576

Mailing address

1347 W Fillmore St Apt 3
Chicago, IL 60607-4924

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