| Advanced Dental Care Of Anderson Llc | |
|
1612 E 53rd St Anderson IN 46013-2826 | |
| (765) 622-7000 | |
| (765) 622-9642 |
| Full Name | Advanced Dental Care Of Anderson Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1612 E 53rd St, Anderson, Indiana |
| Authorized Official Name and Position | James Patrick Elbrecht (DENTIST) |
| Authorized Official Contact | 7656227000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Care Of Anderson Llc 1612 E 53rd St Anderson IN 46013-2826 Ph: (765) 622-7000 | Advanced Dental Care Of Anderson Llc 1612 E 53rd St Anderson IN 46013-2826 Ph: (765) 622-7000 |
| NPI Number | 1689088601 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689088601 | NPI | - | NPPES |
| 200283200 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010047A (Indiana) | Primary |
News Archive
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