Hewitt Dental Group of Elkhart, Ltd.

NPI #1053648055 in Elkhart, Indiana

Provider Information

NPI Number: 1053648055
Entity Type: Organization
Organization Name: Hewitt Dental Group of Elkhart, Ltd.
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 11, 2009
Last Updated: Nov 11, 2009

Practice Location

Address: 319 W LUSHER AVE
City: Elkhart
State: Indiana
ZIP Code: 46517-1866
Phone: (574) 389-8300

Authorized Official

Name: DR. SCOTT HEWITT, DDS
Title: PRESIDENT
Phone: (574) 532-3085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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