Michael D Elliott Dmd Pc

LBN: Michael D Elliott Dmd Pc
Michael D Elliott Dmd Pc is an health care organization with primary practice located at 564 W 9Th Pl Suite One, Mesa AZ 85201-4069. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Michael D Elliott Dmd Pc can be contacted via phone (480) 833-8064, or through Winkelman, Krystle via phone (480) 833-8064.

Contact Information

Primary practice address
564 W 9Th Pl Suite One Mesa AZ 85201-4069
Phone: (480) 833-8064
Fax: (480) 962-8263
Website:
Map and Directions
Authorized official contact:
Name: Winkelman, Krystle
Phone: (480) 833-8064

Health care specialties

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

Profile Details

NPI number 1386939148
LBN Legal business name Michael D Elliott Dmd Pc
DBA Doing business as
Authorized official Winkelman, Krystle
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2011
Last updated Jun 9th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386939148 NPPES
Arizona MEDICAID 083353
Arizona Other 2410

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