Northside Family Dentistry | |
625 E Bristol St Ste A Elkhart IN 46514-3476 | |
(317) 519-6978 | |
Not Available |
Full Name | Northside Family Dentistry |
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Speciality | Dentist |
Location | 625 E Bristol St Ste A, Elkhart, Indiana |
Authorized Official Name and Position | Nathan S Martin (OWNER/DENTIST) |
Authorized Official Contact | 3175196978 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northside Family Dentistry 7933 Windhill Dr Indianapolis IN 46256-1820 Ph: (317) 519-6978 | Northside Family Dentistry 625 E Bristol St Ste A Elkhart IN 46514-3476 Ph: (317) 519-6978 |
NPI Number | 1497153142 |
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Provider Enumeration Date | 12/11/2014 |
Last Update Date | 12/11/2014 |
Identifier | Type | State | Issuer |
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1497153142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12012108A (Indiana) | Primary |
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