| Aegis Trusted Dentistry, P.c. | |
| 
					3560 Elkhart Rd Goshen IN 46526-5814  | |
| (574) 875-7711 | |
| (574) 875-7718 | 
| Full Name | Aegis Trusted Dentistry, P.c. | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 3560 Elkhart Rd, Goshen, Indiana | 
| Authorized Official Name and Position | Guy J Moore (OWNER/PRESIDENT) | 
| Authorized Official Contact | 5748757711 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Aegis Trusted Dentistry, P.c. 3560 Elkhart Rd Goshen IN 46526-5814 Ph: (574) 875-7711  | Aegis Trusted Dentistry, P.c. 3560 Elkhart Rd Goshen IN 46526-5814 Ph: (574) 875-7711  | 
| NPI Number | 1689360075 | 
|---|---|
| Provider Enumeration Date | 04/18/2023 | 
| Last Update Date | 04/18/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689360075 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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