# COMPREHENSIVE DENTAL CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508077595
- **Authorized official:** DR. TERRY ROBERT BRYANT DDS (OWNER)
- **Authorized official phone:** (574) 264-4161

## Contact information

- **Practice address:** 3820 E BRISTOL ST, ELKHART, IN 46514
- **Practice address phone:** (574) 264-4161
- **Practice address fax:** (574) 266-8198
- **Mailing address:** 3820 E BRISTOL ST, ELKHART, IN 46514
- **Mailing address phone:** (574) 264-4161
- **Mailing address fax:** (574) 266-8198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009531 | IN | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020