| Dennis L Church Dds Inc | |
|
213 North 16th St Elwood IN 46036 | |
| (765) 552-0211 | |
| (765) 552-5106 |
| Full Name | Dennis L Church Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 213 North 16th St, Elwood, Indiana |
| Authorized Official Name and Position | Dennis L Church (PRESIDENT) |
| Authorized Official Contact | 7655520211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis L Church Dds Inc 213 North 16th St Elwood IN 46036 Ph: (765) 552-0211 | Dennis L Church Dds Inc 213 North 16th St Elwood IN 46036 Ph: (765) 552-0211 |
| NPI Number | 1790849313 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790849313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12007767A (Indiana) | Primary |
Elwood Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 N 16th St, Elwood, IN 46036 Phone: 765-552-7803 Fax: 765-552-5106 |