# ADVANCED DENTAL CARE OF ANDERSON LLC

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

## Provider details

- **NPI number:** 1689088601
- **Authorized official:** DR. JAMES PATRICK ELBRECHT DDS (DENTIST)
- **Authorized official phone:** (765) 622-7000

## Contact information

- **Practice address:** 1612 E 53RD ST, ANDERSON, IN 46013-2826
- **Practice address phone:** (765) 622-7000
- **Practice address fax:** (765) 622-9642
- **Mailing address:** 1612 E 53RD ST, ANDERSON, IN 46013-2826
- **Mailing address phone:** (765) 622-7000
- **Mailing address fax:** (765) 622-9642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010047A | IN | Yes |

## Other

- **Enumeration date:** 06/18/2014
- **Last updated:** 06/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200283200 | — | IN |