NPI 1720695828 · live from the CMS NPI Registry
Candid Indiana, P.C.
Dentist, Orthodontics and Dentofacial Orthopedics in Valparaiso, IN. National Provider Identifier 1720695828, active.
NPI record
| NPI | 1720695828 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 5 Washington St Fl 3, Valparaiso, IN 46383 |
| Practice phone | 860-481-7631 |
| Enumerated | September 23, 2020 |
| Last updated | September 23, 2020 |
| Authorized official | Chester Hurst, DDS |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.