| Elkhart Dental Llc | |
|
509 S. Cosmos Elkhart KS 67950 | |
| (620) 697-2253 | |
| Not Available |
| Full Name | Elkhart Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 509 S. Cosmos, Elkhart, Kansas |
| Authorized Official Name and Position | David James Hart (OWNER) |
| Authorized Official Contact | 6207925523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elkhart Dental Llc Po Box 68 Elkhart KS 67950-0068 Ph: () - | Elkhart Dental Llc 509 S. Cosmos Elkhart KS 67950 Ph: (620) 697-2253 |
| NPI Number | 1407219017 |
|---|---|
| Provider Enumeration Date | 03/31/2016 |
| Last Update Date | 03/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407219017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60403 (Kansas) | Primary |