Behner, Elton Dale
Behner, Elton Dale is an individual health care provider with primary practice located at 9744 Lantern Rd , Fishers IN 46037-9612. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Behner, Elton Dale can be contacted via phone (317) 842-2337.Contact Information
Primary practice address
9744 Lantern Rd
Fishers IN 46037-9612
Phone: (317) 842-2337
Fax: (317) 842-1640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12008545 | Indiana |
Profile Details
| NPI number | 1811045347 |
|---|---|
| LBN Legal business name | Behner, Elton Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811045347 | NPPES |
| Indiana | Other | 12008545 | IN DENTAL LICENSE NO. |
| Indiana | MEDICAID | 100237210A | IN DENTAL LICENSE NO. |
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