Hewitt Dental Group Of Elkhart, Ltd.

LBN: Hewitt Dental Group Of Elkhart, Ltd.
Hewitt Dental Group Of Elkhart, Ltd. is an health care organization with primary practice located at 319 W Lusher Ave , Elkhart IN 46517-1866. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Hewitt Dental Group Of Elkhart, Ltd. can be contacted via phone (574) 389-8300, or through Hewitt, Scott via phone (574) 532-3085.

Contact Information

Primary practice address
319 W Lusher Ave Elkhart IN 46517-1866
Phone: (574) 389-8300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hewitt, Scott Doctor of Dental Surgery (DDS)
Phone: (574) 532-3085

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12007801A Indiana

Profile Details

NPI number 1053648055
LBN Legal business name Hewitt Dental Group Of Elkhart, Ltd.
DBA Doing business as
Authorized official Hewitt, Scott Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2009
Last updated Nov 11th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053648055 NPPES
Indiana MEDICAID 100222340

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