Hewitt Dental Group Of Elkhart, Ltd.

NPI 1053648055 - Dentist - 1223G0001X

NPI Details
NPI 1053648055
Enumeration Date 11/11/2009
Last Updated 11/11/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SCOTT SCOTT
Position PRESIDENT
Phone (574) 389-8300
Fax
Practice Location
319 W LUSHER AVE
ELKHART IN, 46517-1866, US
Phone (574) 389-8300
Fax
Business Location
PO BOX 806
MIDDLEBURY IN, 46540-0806, US
Phone (574) 229-8180
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12007801A
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According to our database, Hewitt Dental Group Of Elkhart, Ltd. NPI is 1053648055, taxonomy code is 1223G0001X and license number is 12007801A, license state is located at Indiana. Hewitt Dental Group Of Elkhart, Ltd. physically located at 319 W Lusher Ave, Elkhart IN, 46517-1866. NPI Number 1033115704 has the healthcare provider type.

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1053648055 NPI number is provided on an as is basis without warranty of any kind. 1053648055 is maintained by the National Plan & Provider Enumeration System. The contents of Hewitt Dental Group Of Elkhart, Ltd. are for informational purposes only.