Provider Demographics
NPI:1932900792
Name:ARTISTIC FAMILY DENTAL SCHERERVILLE PC
Entity type:Organization
Organization Name:ARTISTIC FAMILY DENTAL SCHERERVILLE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ESAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JUMANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-544-1626
Mailing Address - Street 1:1945 HARDER CT
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-1795
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1945 HARDER CT
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-1795
Practice Address - Country:US
Practice Address - Phone:917-544-1626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty