Ellettsville Dental Center, Inc. | |
5915 West Highway 46 Ellettsville IN 47429-0518 | |
(812) 876-7330 | |
(812) 876-7325 |
Full Name | Ellettsville Dental Center, Inc. |
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Speciality | Dentist - General Practice |
Location | 5915 West Highway 46, Ellettsville, Indiana |
Authorized Official Name and Position | David C Compton (PRESIDENT) |
Authorized Official Contact | 8128767330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ellettsville Dental Center, Inc. Po Box 518 Ellettsville IN 47429-0518 Ph: (812) 876-7330 | Ellettsville Dental Center, Inc. 5915 West Highway 46 Ellettsville IN 47429-0518 Ph: (812) 876-7330 |
NPI Number | 1063515914 |
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Provider Enumeration Date | 09/06/2006 |
Last Update Date | 12/16/2010 |
Identifier | Type | State | Issuer |
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1063515914 | NPI | - | NPPES |
200348440A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |