Organization
SCOTT ELLARD DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT F ELLARD DDS (OWNER)
(269) 329-1880
Entity
Organization
Contact information
Practice address
5835 OAKLAND DRIVE, PORTAGE, MI 49024
(269) 329-1880
(269) 329-1886
Mailing address
5835 OAKLAND DRIVE, PORTAGE, MI 49024
(269) 329-1880
(269) 329-1886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12873
MI
Other
Enumeration date
01/24/2006
Last updated
08/22/2020
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