| Elkhart Oral And Maxillofacial Surgery Inc. | |
|
117 S Nappanee St Elkhart IN 46514-1955 | |
| (574) 293-8211 | |
| (574) 295-8270 |
| Full Name | Elkhart Oral And Maxillofacial Surgery Inc. |
|---|---|
| Speciality | Dentist |
| Location | 117 S Nappanee St, Elkhart, Indiana |
| Authorized Official Name and Position | Jeffrey S Mcbride (OWNER/PARTNER) |
| Authorized Official Contact | 5742938211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elkhart Oral And Maxillofacial Surgery Inc. 117 S Nappanee St Elkhart IN 46514-1955 Ph: (574) 293-8211 | Elkhart Oral And Maxillofacial Surgery Inc. 117 S Nappanee St Elkhart IN 46514-1955 Ph: (574) 293-8211 |
| NPI Number | 1891973541 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 11/15/2017 |
| Medicare PECOS PAC ID | 7517125479 |
|---|---|
| Medicare Enrollment ID | O20120223000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891973541 | NPI | - | NPPES |
| 200310500A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12008926 (Indiana) | Primary |
| Provider Name | Jeffrey S Mcbride |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992893309 PECOS PAC ID: 2961682265 Enrollment ID: I20120223000152 |
Hewitt Dental Group Of Elkhart, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 W Lusher Ave, Elkhart, IN 46517 Phone: 574-389-8300 | |
J E Steele Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 Waterfall Dr, Elkhart, IN 46516 Phone: 574-293-6342 Fax: 574-522-8578 | |
Springer Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3702 E Mishawaka Rd, Elkhart, IN 46517 Phone: 574-875-6595 | |
Dunlap Dental Services, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 E Mishawaka Rd, Suite 1, Elkhart, IN 46517 Phone: 574-875-6595 | |
Douglas J Snyder Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 427 Waterfall Dr, Elkhart, IN 46516 Phone: 574-293-9495 | |
Orange Door Dental Group Of Elkhart Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Nappanee St, Elkhart, IN 46514 Phone: 574-293-5216 Fax: 574-522-1239 | |
Pippin Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 S Main St Ste A150, Elkhart, IN 46517 Phone: 678-904-5665 Fax: 678-904-5666 |