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Organization
ADVANCED DENTAL CARE OF ANDERSON LLC
Active
Organization
ADVANCED DENTAL CARE OF ANDERSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PATRICK ELBRECHT DDS (DENTIST)
(765) 622-7000
Entity
Organization
Contact information
Practice address
1612 E 53RD ST, ANDERSON, IN 46013-2826
(765) 622-7000
(765) 622-9642
Mailing address
1612 E 53RD ST, ANDERSON, IN 46013-2826
(765) 622-7000
(765) 622-9642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010047A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200283200
—
IN
Enumeration date
06/18/2014
Last updated
06/18/2014
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