| Christiana Creek Dental Care | |
|
301 W Bristol St Elkhart IN 46514-3078 | |
| (574) 262-4378 | |
| (574) 266-1481 |
| Full Name | Christiana Creek Dental Care |
|---|---|
| Speciality | Clinic/center |
| Location | 301 W Bristol St, Elkhart, Indiana |
| Authorized Official Name and Position | Gavin A Schill (PRESIDENT) |
| Authorized Official Contact | 5742624378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christiana Creek Dental Care 301 W Bristol St Elkhart IN 46514-3078 Ph: (574) 262-4378 | Christiana Creek Dental Care 301 W Bristol St Elkhart IN 46514-3078 Ph: (574) 262-4378 |
| NPI Number | 1528195286 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 02/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528195286 | NPI | - | NPPES |
| 1528195286 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 12011190A (Indiana) | Primary |
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