David Alan Elledge is a Dentist in Fulton, Missouri. David Alan Elledge practices all healthcare services and medical treatments related to Dentist. The NPI Number for David Alan Elledge is 1427140151. The last update date is 2007-07-08.
David Alan Elledge's current location address is 2424 N Bluff St, Fulton, Missouri. You can contact this provider via phone number 5736422444. The mailing address for David Alan Elledge is 2424 N Bluff St, Fulton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Alan Elledge |
|---|---|
| Address | 2424 N Bluff St, Fulton, Missouri |
| Phone Number | 5736422444 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1427140151 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2424 N Bluff St |
|---|---|
| City | Fulton |
| State | Missouri (MO) |
| Post Code | 652512709 |
| Phone Number | 5736422444 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12901 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to David Alan Elledge by the Centers for Medicare & Medicaid Services (CMS)?
The David Alan Elledge has been assigned the NPI (National Provider Identifier) 1427140151. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the David Alan Elledge located?
The David Alan Elledge is located at 2424 N Bluff St, Fulton, MO 652512709.
What is David Alan Elledge's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Alan Elledge's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427140151 to David Alan Elledge?
The Centers for Medicare & Medicaid Services originally issued the 1427140151 to David Alan Elledge on 2006-09-29.
When was the David Alan Elledge's information last updated?
The David Alan Elledge's information was last updated on 2007-07-08.