Thomas J Elliott D.d.s. , P.c | |
17 W Jackson St Cicero IN 46034-5041 | |
(317) 984-5676 | |
Not Available |
Full Name | Thomas J Elliott D.d.s. , P.c |
---|---|
Speciality | Clinic/center - Dental |
Location | 17 W Jackson St, Cicero, Indiana |
Authorized Official Name and Position | Thomas Elliott (OWNER) |
Authorized Official Contact | 3179845676 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas J Elliott D.d.s. , P.c 17 W Jackson St Cicero IN 46034-5041 Ph: (317) 984-5676 | Thomas J Elliott D.d.s. , P.c 17 W Jackson St Cicero IN 46034-5041 Ph: (317) 984-5676 |
NPI Number | 1013509934 |
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Provider Enumeration Date | 02/11/2021 |
Last Update Date | 02/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013509934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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