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NPI 1538217914

NPI 1538217914 : DENTAL CARE TODAY, PC : FISHERS, IN

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General NPI Number Information
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    NPI Number           |    1538217914
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    Entity Type          |    Organization 
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    Legal Business Name  |    DENTAL CARE TODAY, PC 
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Dates
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    Enumeration Date     |    01/08/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    9744 LANTERN RD 
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    City                 |    FISHERS
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    State                |    IN
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    Zip                  |    46037-9612
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    Country              |    US
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    Telephone            |    317-842-2337
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    Fax                  |    317-842-1640
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Provider Business Mailing Address
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    Address Line         |    9744 LANTERN RD 
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    City                 |    FISHERS
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    State                |    IN
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    Zip                  |    46037-9612
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    Country              |    US
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    Telephone            |    317-842-2337
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    Fax                  |    317-842-1640
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ELTON DALE BEHNER 
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    Credential           |    DDS
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    Telephone            |    317-842-2337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    54001195A
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    License Number State |    IN
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