| Oral Surgery Center Of Elkhart, Inc | |
|
232 Waterfall Dr Elkhart IN 46516-3668 | |
| (574) 532-3085 | |
| Not Available |
| Full Name | Oral Surgery Center Of Elkhart, Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 232 Waterfall Dr, Elkhart, Indiana |
| Authorized Official Name and Position | Scott D Hewitt (PRESIDENT / OWNER) |
| Authorized Official Contact | 5745323085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Center Of Elkhart, Inc 232 Waterfall Dr Elkhart IN 46516-3668 Ph: () - | Oral Surgery Center Of Elkhart, Inc 232 Waterfall Dr Elkhart IN 46516-3668 Ph: (574) 532-3085 |
| NPI Number | 1750610333 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 12/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750610333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12007801 (Indiana) | Primary |
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