Provider Demographics
NPI:1588895585
Name:HI-TEK SMILES, P.C.
Entity type:Organization
Organization Name:HI-TEK SMILES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:NATT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:219-322-1852
Mailing Address - Street 1:175 E US HIGHWAY 30
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-2116
Mailing Address - Country:US
Mailing Address - Phone:219-322-1852
Mailing Address - Fax:219-322-1872
Practice Address - Street 1:175 E US HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-2116
Practice Address - Country:US
Practice Address - Phone:219-322-1852
Practice Address - Fax:219-322-1872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN54001643A261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental