Advanced Dental Care of Anderson LLC
Organization Active NPI General Practice Dentistry · Anderson, IN
NPI 1689088601 · NPPES record last updated Jun 18, 2014
Key facts
- NPI
- 1689088601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12010047A (IN)
- Legal business name
- ADVANCED DENTAL CARE OF ANDERSON LLC
- Practice address
- 1612 E 53Rd St
Anderson, IN 46013-2826 - Phone
- (765) 622-7000
- Fax
- (765) 622-9642
- NPI assigned
- Jun 18, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. James Patrick Elbrecht, DDS
- Title
- Dentist
- Phone
- (765) 622-7000
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 12010047A | IN | Yes |
Addresses
Primary practice location
1612 E 53Rd St
Anderson, IN 46013-2826
Mailing address
1612 E 53Rd St
Anderson, IN 46013-2826
Phone (765) 622-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200283200 | Medicaid | IN |
Other providers in Anderson, IN
- Acl Medical Staffing & Home Care Services
- Adams County Memorial Hospital
- Neda Adams
- Admiral Medical Home Health Inc
- Advance Pain Relief of Indiana Inc
- Advanced Dental Care of Anderson LLC
- Advanced Family Dentistry of Anderson
- Advanced Home Medical, LLC
- Advanced Pain Relief Center Inc
- Aegis Group Practice LLC
All providers in Anderson, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.