Henry K Pong, Dds, Psc is a Dental Clinic in Lake Station, Indiana. It is located at 3820 Central Ave, Lake Station, IN and its contact number is 219-962-8666. The authorized person for Henry K Pong, Dds, Psc is Dr. Henry K Pong
who is President of the clinic and their contact number is 219-962-8666. The primary license number for Henry K Pong, Dds, Psc is 54000645 (Dentist) in Indiana. Henry K Pong, Dds, Psc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Henry K Pong, Dds, Psc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Henry K Pong, Dds, Psc
Specialization:
Dentistry
Clinic Address:
3820 Central Ave, Lake Station, Indiana, 46405-2324
Phone:
219-962-8666
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Henry K Pong
Position:
President
Contact Number:
219-962-8666
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Henry K Pong, Dds, Psc clinic are as mentioned below.
NPI Number:
1174620769
NPI Enumeration Date:
17 Sep, 2006
NPI Last Update On:
19 Feb, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Henry K Pong, Dds, Psc are as mentioned below.
Specialization
License Number
State
Status
Dentist
54000645
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100167920A
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Henry K Pong, Dds, Psc 3820 Central Ave, Lake Station, Indiana
Zip:
46405-2324
Phone Number:
219-962-8666
Patients can reach Henry K Pong, Dds, Psc at 3820 Central Ave, Lake Station, Indiana or can call to book an appointment on 219-962-8666. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.