Michael Dotson Elliott in Mesa - Oral And Maxillofacial Surgery
Michael Dotson Elliott - NPI 1760469787
Michael Dotson Elliott is a Oral And Maxillofacial Surgery in Mesa, Arizona. Michael Dotson Elliott practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Michael Dotson Elliott is 1760469787. The last update date is 2011-01-26.
Michael Dotson Elliott's current location address is 564 W 9th Pl, Mesa, Arizona. You can contact this provider via phone number 4808338064 and fax number 4809628263. The mailing address for Michael Dotson Elliott is 564 W 9th Pl, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Dotson Elliott |
|---|---|
| Address | 564 W 9th Pl, Mesa, Arizona |
| Phone Number | 4808338064 |
| Fax Number | 4809628263 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1760469787 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2011-01-26 |
Provider Mailing Address Detail
| Address | 564 W 9th Pl |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852014069 |
| Phone Number | 4808338064 |
| Fax Number | 4809628263 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2410 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 83353 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Dotson Elliott by the Centers for Medicare & Medicaid Services?
The Michael Dotson Elliott has been issued the NPI (National Provider Identifier) 1760469787, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Dotson Elliott?
The Michael Dotson Elliott is situated at 564 W 9Th Pl, in the city of Mesa, state of AZ, with the zip code 852014069.
What is Michael Dotson Elliott's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Dotson Elliott is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
When did the Michael Dotson Elliott receive its 1760469787?
The Michael Dotson Elliott was issued its 1760469787 on 2005-12-30, which is the date when the organization was assigned this unique identifier.
When was the Michael Dotson Elliott's information last updated?
The Michael Dotson Elliott's information was last updated on 2011-01-26.
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