Elliott, Michael Dotson

Elliott, Michael Dotson is an sole proprietor health care provider with primary practice located at 564 W 9Th Pl Suite 1, Mesa AZ 85201-4069. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Elliott, Michael Dotson can be contacted via phone (480) 833-8064.

Contact Information

Primary practice address
564 W 9Th Pl Suite 1 Mesa AZ 85201-4069
Phone: (480) 833-8064
Fax: (480) 962-8263
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2410 Arizona

Profile Details

NPI number 1760469787
LBN Legal business name Elliott, Michael Dotson
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2005
Last updated Jan 26th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760469787 NPPES
Arizona MEDICAID 083353

Popular Providers