# DENTAL PROFESSIONALS OF IN, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF IN, PC
- **Other names:** Dental Care of Elkhart
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861738015
- **Legal business name:** DENTAL PROFESSIONALS OF IN, PC
- **Authorized official:** MARIE KUHL (CREDENTIALING MANAGER)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 505 VISTULA ST, ELKHART, IN 46516-2809
- **Practice address phone:** (217) 540-5100
- **Mailing address:** 505 VISTULA ST, ELKHART, IN 46516-2809
- **Mailing address phone:** (217) 540-5100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2012
- **Last updated:** 01/03/2014