SearchIndianaGeneral Practice Dentistry

Richard Ellsworth, DDS

NPI 1083714885 · on the registry since 2006 · sole proprietor

Practice

Address
150 Professional Ct.
Ste A
Lafayette, IN 47905
Phone
(765) 449-2757
Fax
(765) 449-2759
Organisation at this address
Vibrant Dental Llc
Guido Family Dentistry
Virata Retina Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana