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Elkhart County Health Department
Pediatric Dentist in Elkhart, Indiana
NPI 1659596336

Elkhart County Health Department is a Pediatric Dentist based in Elkhart, IN and is specialized in Pediatric Dentistry. Elkhart County Health Department practices in Elkhart, IN. The NPI Number for Elkhart County Health Department is 1659596336 and holds a License No. (Indiana).

The current practice location address for Elkhart County Health Department is 1400 Hudson Street, Elkhart, IN and can be reached out via phone at 574-522-0104 and via fax at 574-522-1902. You can also correspond with Elkhart County Health Department through the mailing address at 608 OAKLAND AVENUE, ELKHART, IN - 46516 (mailing address contact number: 574-523-2105).

Location: 1400 Hudson Street, Elkhart, IN, 46516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659596336
Provider Name
Elkhart County Health Department
Credential
Provider Entity Type
Organization
Address
1400 Hudson Street, Elkhart, IN, 46516
Phone Number
574-522-0104
Fax Number
574-522-1902
Provider Enumeration Date
04/16/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100112150A 05 IN
institution
Provider Business Practice Location Address Details
Address
1400 Hudson Street
City
Elkhart
State
Indiana
Zip
46516
Phone Number
574-522-0104
Fax Number
574-522-1902
person
Provider Business Mailing Address Details
Address
608 Oakland Avenue
City
Elkhart
State
Indiana
Zip
46516
Phone Number
574-523-2105
Fax Number
574-295-6186
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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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.
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