| Serenity Creek Dental Care, Llc | |
|
298 S 10th St Ste 100 Noblesville IN 46060-2741 | |
| (317) 417-1221 | |
| Not Available |
| Full Name | Serenity Creek Dental Care, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 298 S 10th St Ste 100, Noblesville, Indiana |
| Authorized Official Name and Position | Kelly Elikofer (OWNER / DENTIST) |
| Authorized Official Contact | 3174171221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Creek Dental Care, Llc 298 S 10th St Ste 100 Noblesville IN 46060-2741 Ph: (317) 417-1221 | Serenity Creek Dental Care, Llc 298 S 10th St Ste 100 Noblesville IN 46060-2741 Ph: (317) 417-1221 |
| NPI Number | 1326781212 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326781212 | NPI | - | NPPES |
| 12012146A | Other | IN | IN DENTAL LICENSE |
| 1881008399 | Other | IN | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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