| Scott Ellard Dentistry | |
|
5835 Oakland Drive Portage MI 49024 | |
| (269) 329-1880 | |
| (269) 329-1886 |
| Full Name | Scott Ellard Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 5835 Oakland Drive, Portage, Michigan |
| Authorized Official Name and Position | Scott F Ellard (OWNER) |
| Authorized Official Contact | 2693291880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Ellard Dentistry 5835 Oakland Drive Portage MI 49024 Ph: (269) 329-1880 | Scott Ellard Dentistry 5835 Oakland Drive Portage MI 49024 Ph: (269) 329-1880 |
| NPI Number | 1124098942 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124098942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12873 (Michigan) | Primary |
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