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Adam Takeo Ellenthal, DDS,MPH
Pediatric Dentist in Cary, North Carolina
NPI 1447884861

Adam Takeo Ellenthal is a Pediatric Dentist based in Cary, NC and is specialized in Pediatric Dentistry. Adam Takeo Ellenthal practices in Cary, NC and has the professional credentials of DDS,MPH. The NPI Number for Adam Takeo Ellenthal is 1447884861 and holds a License No. (North Carolina).

The current practice location address for Adam Takeo Ellenthal is 1705 High House Rd, Cary, NC and can be reached out via phone at 919-267-4211. You can also correspond with Adam Takeo Ellenthal through the mailing address at 1705 HIGH HOUSE RD, CARY, NC - 27513-3601 (mailing address contact number: 919-267-4211).

Location: 1705 High House Rd, Cary, NC, 27513-3601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447884861
Provider Name
Adam Takeo Ellenthal
Credential
DDS,MPH
Provider Entity Type
Individual
Gender
Male
Address
1705 High House Rd, Cary, NC, 27513-3601
Phone Number
919-267-4211
Fax Number
Provider Enumeration Date
02/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1705 High House Rd
City
Cary
State
North Carolina
Zip
27513-3601
Phone Number
919-267-4211
Fax Number
person
Provider Business Mailing Address Details
Address
1705 High House Rd
City
Cary
State
North Carolina
Zip
27513-3601
Phone Number
919-267-4211
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
PENDING (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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