| Healthy Beginnings | |
|
1400 Hudson Street Elkhart IN 46516 | |
| (574) 522-0104 | |
| (574) 522-1902 |
| Full Name | Healthy Beginnings |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1400 Hudson Street, Elkhart, Indiana |
| Authorized Official Name and Position | Diantha Hostetler (CLINICAL MANAGER) |
| Authorized Official Contact | 5745232136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Beginnings 608 Oakland Avenue Elkhart IN 46516 Ph: (574) 523-2105 | Healthy Beginnings 1400 Hudson Street Elkhart IN 46516 Ph: (574) 522-0104 |
| NPI Number | 1659596336 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659596336 | NPI | - | NPPES |
| 100112150A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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