Organization
CHRISTIANA CREEK DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVIN A SCHILL DDS (PRESIDENT)
(574) 262-4378
Entity
Organization
Contact information
Practice address
301 W BRISTOL ST, ELKHART, IN 46514-3078
(574) 262-4378
(574) 266-1481
Mailing address
301 W BRISTOL ST, ELKHART, IN 46514-3078
(574) 262-4378
(574) 266-1481
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
12011190A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528195286
NPI
—
Enumeration date
02/28/2007
Last updated
02/06/2012
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