# ORAL SURGERY CENTER OF ELKHART, INC

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

## Provider details

- **NPI number:** 1750610333
- **Authorized official:** SCOTT D HEWITT D.D.S. (PRESIDENT / OWNER)
- **Authorized official phone:** (574) 532-3085

## Contact information

- **Practice address:** 232 WATERFALL DR, ELKHART, IN 46516-3668
- **Practice address phone:** (574) 532-3085
- **Mailing address:** 232 WATERFALL DR, ELKHART, IN 46516-3668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12007801 | IN | Yes |

## Other

- **Enumeration date:** 12/10/2009
- **Last updated:** 12/10/2009