| Thomas A. Elliott, D.d.s. | |
|
2718 Forum Blvd. Suite 1 Columbia MO 65203 | |
| (573) 446-1775 | |
| Not Available |
| Full Name | Thomas A. Elliott, D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 2718 Forum Blvd., Columbia, Missouri |
| Authorized Official Name and Position | Thomas A Elliott (OWNER) |
| Authorized Official Contact | 5734461775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A. Elliott, D.d.s. 2718 Forum Blvd Suite 1 Columbia MO 65203-5451 Ph: (573) 446-1775 | Thomas A. Elliott, D.d.s. 2718 Forum Blvd. Suite 1 Columbia MO 65203 Ph: (573) 446-1775 |
| NPI Number | 1326339888 |
|---|---|
| Provider Enumeration Date | 05/02/2011 |
| Last Update Date | 05/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326339888 | NPI | - | NPPES |
| 12697 | Other | MO | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12697 (Missouri) | Primary |
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