Provider Demographics
NPI:1538217914
Name:DENTAL CARE TODAY, PC
Entity type:Organization
Organization Name:DENTAL CARE TODAY, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELTON
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:BEHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-842-2337
Mailing Address - Street 1:9744 LANTERN RD
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9612
Mailing Address - Country:US
Mailing Address - Phone:317-842-2337
Mailing Address - Fax:317-842-1640
Practice Address - Street 1:9744 LANTERN RD
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9612
Practice Address - Country:US
Practice Address - Phone:317-842-2337
Practice Address - Fax:317-842-1640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN54001195A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN54001195AOtherDENTAL CORP LICENSE NO