NPI 1821119413 · live from the CMS NPI Registry
Brian D Eberhart, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Mishawaka, IN. National Provider Identifier 1821119413, active.
NPI record
| NPI | 1821119413 Type 1 · individual |
|---|---|
| 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 | April 2, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
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.