Individual
DR. ELTON DALE BEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9744 LANTERN RD, FISHERS, IN 46037-9612
(317) 842-2337
(317) 842-1640
Mailing address
9744 LANTERN RD, FISHERS, IN 46037-9612
(317) 842-2337
(317) 842-1640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008545
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100237210A
—
IN
01
—
12008545
IN DENTAL LICENSE NO.
IN
Enumeration date
01/08/2007
Last updated
03/07/2023
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