| Michael D Elliott Dmd Pc | |
|
564 W 9th Pl Suite One Mesa AZ 85201-4069 | |
| (480) 833-8064 | |
| (480) 962-8263 |
| Full Name | Michael D Elliott Dmd Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 564 W 9th Pl, Mesa, Arizona |
| Authorized Official Name and Position | Krystle Winkelman (MANAGER) |
| Authorized Official Contact | 4808338064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Elliott Dmd Pc 564 W 9th Pl Suite One Mesa AZ 85201-4069 Ph: (480) 833-8064 | Michael D Elliott Dmd Pc 564 W 9th Pl Suite One Mesa AZ 85201-4069 Ph: (480) 833-8064 |
| NPI Number | 1386939148 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 06/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386939148 | NPI | - | NPPES |
| 083353 | Medicaid | AZ | |
| 2410 | Other | AZ | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2410 (Arizona) | Primary |
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