DR. RICHARD ELLSWORTH, DDS
Dentist - General Practice
Active
Individual
NPI: 1083714885
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 7107 (IN) |
Frequently Asked Questions
NPI 1083714885 is the National Provider Identifier for DR. RICHARD ELLSWORTH, DDS, a Dentist - General Practice provider located in Lafayette, IN. This NPI was enumerated on September 22, 2006.
DR. RICHARD ELLSWORTH, DDS practices at 150 PROFESSIONAL CT., STE A, Lafayette, IN 47905.
Quick Facts
- NPI
- 1083714885
- Type
- Individual
- Enumerated
- Sep 22, 2006
- Last Updated
- Jul 8, 2007
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