Organization
ADVANCED DENTAL CARE OF ANDERSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PATRICK ELBRECHT DDS (DENTIST)
(765) 622-7000
Entity
Organization
Contact information
Practice address
1612 E 53RD ST, ANDERSON, IN 46013-2826
(765) 622-7000
(765) 622-9642
Mailing address
1612 E 53RD ST, ANDERSON, IN 46013-2826
(765) 622-7000
(765) 622-9642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010047A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200283200
—
IN
Enumeration date
06/18/2014
Last updated
06/18/2014
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