| Elwood Family Dentistry, Llc | |
|
213 N 16th St Elwood IN 46036-1769 | |
| (765) 552-7803 | |
| (765) 552-5106 |
| Full Name | Elwood Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 213 N 16th St, Elwood, Indiana |
| Authorized Official Name and Position | Kevin Lefevre (VICE PRESIDENT) |
| Authorized Official Contact | 3177567125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elwood Family Dentistry, Llc 16426 Chalet Cir Westfield IN 46074-8781 Ph: (317) 756-7125 | Elwood Family Dentistry, Llc 213 N 16th St Elwood IN 46036-1769 Ph: (765) 552-7803 |
| NPI Number | 1740718980 |
|---|---|
| Provider Enumeration Date | 06/01/2017 |
| Last Update Date | 06/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740718980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dennis L Church Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 North 16th St, Elwood, IN 46036 Phone: 765-552-0211 Fax: 765-552-5106 |