Scott Ellard Dentistry

NPI #1124098942 in Portage, Michigan

Provider Information

NPI Number: 1124098942
Entity Type: Organization
Organization Name: Scott Ellard Dentistry
Primary Specialty: Dentist
Enumeration Date: Jan 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5835 OAKLAND DRIVE
City: Portage
State: Michigan
ZIP Code: 49024
Phone: (269) 329-1880

Authorized Official

Name: DR. SCOTT F ELLARD, DDS
Title: OWNER
Phone: (269) 329-1880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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