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CHRISTIANA CREEK DENTAL CARE NPI 1528195286


NPI Information

NPI: 1528195286
Provider Name: CHRISTIANA CREEK DENTAL CARE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
301 W BRISTOL ST
ELKHART, IN
ZIP 46514
Phone: (574) 262-4378
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CHRISTIANA CREEK DENTAL CARE is a clinic center in Elkhart, IN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CHRISTIANA CREEK DENTAL CARE NPI is 1528195286. The provider is registered as an organization entity type.

The provider's business location address is:

301 W BRISTOL ST
ELKHART, IN
ZIP 46514-078
Phone: (574) 262-4378
Fax: (574) 266-1481

The provider's authorized official is Gavin A Schill .
The authorized official title is President and has the following contact phone number (574) 262-4378.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 2/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center12011190AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11528195286OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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