# AMANDA ELLING DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elkhart Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962989194
- **Authorized official:** DR. AMANDA LEIGH ELLING DDS (OWNER)
- **Authorized official phone:** (903) 764-5531

## Contact information

- **Practice address:** 313 W PARKER ST STE A, ELKHART, TX 75839-7612
- **Practice address phone:** (903) 764-5531
- **Mailing address:** 428 AN COUNTY ROAD 133, ELKHART, TX 75839-6104
- **Mailing address phone:** (817) 709-3006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2018
- **Last updated:** 07/20/2018