OrganizationActive
Aegis Trusted Dentistry, P.C.
NPI 1689360075 · Dental Clinic/Center · Goshen, IN
Provider details
- NPI number
- 1689360075
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Guy Moore, Owner/President(574) 875-7711
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3560 Elkhart Rd
Goshen, IN 46526-5814
Phone: (574) 875-7711
Fax: (574) 875-7718
Approximate (ZIP-level) locationGet directions
Mailing address
3560 Elkhart Rd
Goshen, IN 46526-5814
Other names (DBA / former)
- Doing business as
- Aegis Dental Group
Registry dates
- Enumerated
- 2023-04-18
- Last updated
- 2023-04-18
- Certified
- 2023-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.