| Brent L Ellis Dds Pc | |
|
290 A St Se Linton IN 47441-1844 | |
| (812) 847-8601 | |
| (812) 847-8750 |
| Full Name | Brent L Ellis Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 290 A St Se, Linton, Indiana |
| Authorized Official Name and Position | Brent L Ellis (OWNER) |
| Authorized Official Contact | 8128478601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent L Ellis Dds Pc Po Box 635 Linton IN 47441-0635 Ph: () - | Brent L Ellis Dds Pc 290 A St Se Linton IN 47441-1844 Ph: (812) 847-8601 |
| NPI Number | 1568162238 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568162238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Booe Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 N 1000 W, Suite A, Linton, IN 47441 Phone: 812-847-5101 | |
Steven W Kellett Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 C St Nw, Linton, IN 47441 Phone: 812-847-8646 Fax: 812-847-8761 |