NPI 1205873270 · live from the CMS NPI Registry
Brian D Eberhart DDS PC
Dentist, Orthodontics and Dentofacial Orthopedics in Mishawaka, IN. National Provider Identifier 1205873270, active.
NPI record
| NPI | 1205873270 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3650 N Main St, Mishawaka, IN 46545 |
| Practice phone | 574-258-4344 |
| Enumerated | May 31, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Brian Eberhart, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 8569 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.