Northwest Pediatric Dental Llc is a Dental Clinic in St. John, Indiana. It is located at 8217 Wicker Ave, St. John, IN and its contact number is 219-440-1710. The authorized person for Northwest Pediatric Dental Llc is James R Mitsos
who is Owner of the clinic and their contact number is 219-440-1710.
Northwest Pediatric Dental Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Northwest Pediatric Dental Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Northwest Pediatric Dental Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 8217 Wicker Ave, St. John,
Indiana, 46373 |
| Phone: | 219-440-1710 |
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: | James R Mitsos |
| Position: | Owner |
| Contact Number: | 219-440-1710 |
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 Northwest Pediatric Dental Llc clinic are as mentioned below.
| NPI Number: | 1982433819 |
| NPI Enumeration Date: | 30 Jul, 2024 |
| NPI Last Update On: | 03 Oct, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northwest Pediatric Dental Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
| General Practice | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Northwest Pediatric Dental Llc
8217 Wicker Ave,
St. John, Indiana |
| Zip: | 46373 |
| Phone Number: | 219-440-1710 |
Patients can reach Northwest Pediatric Dental Llc at
8217 Wicker Ave, St. John, Indiana or can
call to book an appointment on 219-440-1710.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.