Dennis L Church DDS Inc

Organization Active NPI Dental Clinic/Center · Elwood, IN

NPI 1790849313 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1790849313
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
License
12007767A (IN)
Legal business name
DENNIS L CHURCH DDS INC
Practice address
213 North 16TH St
Elwood, IN 46036
Phone
(765) 552-0211
Fax
(765) 552-5106
NPI assigned
Dec 20, 2006
Organization subpart
No

Authorized official

Name
Dr. Dennis L Church, DDS
Title
President
Phone
(765) 552-0211

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12007767A IN Yes

Addresses

Primary practice location

213 North 16TH St
Elwood, IN 46036

Mailing address

213 North 16TH St
Elwood, IN 46036
Phone (765) 552-0211

Other providers in Elwood, IN

All providers in Elwood, IN · Dental Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.