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Organization
HEWITT DENTAL GROUP OF ELKHART, LTD.
Active
Organization
HEWITT DENTAL GROUP OF ELKHART, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT HEWITT DDS (PRESIDENT)
(574) 532-3085
Entity
Organization
Contact information
Practice address
319 W LUSHER AVE, ELKHART, IN 46517-1866
(574) 389-8300
Mailing address
PO BOX 806, MIDDLEBURY, IN 46540-0806
(574) 229-8180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007801A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222340
—
IN
Enumeration date
11/11/2009
Last updated
11/11/2009
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