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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 LlcInferred 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