Donald G Elitt in Florissant - Orthodontics And Dentofacial Orthopedics
Donald G Elitt - NPI 1124031612
Donald G Elitt is a Orthodontics And Dentofacial Orthopedics in Florissant, Missouri. Donald G Elitt practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Donald G Elitt is 1124031612. The last update date is 2007-07-08.
Donald G Elitt's current location address is 4585 Washington St, Florissant, Missouri. You can contact this provider via phone number 3148374800. The mailing address for Donald G Elitt is 4585 Washington St, Florissant, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald G Elitt |
|---|---|
| Address | 4585 Washington St, Florissant, Missouri |
| Phone Number | 3148374800 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1124031612 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4585 Washington St |
|---|---|
| City | Florissant |
| State | Missouri (MO) |
| Post Code | 630335858 |
| Phone Number | 3148374800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 11993 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11993 | MO | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Donald G Elitt by the Centers for Medicare & Medicaid Services?
The Donald G Elitt has been assigned the NPI (National Provider Identifier) 1124031612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Donald G Elitt's facilities are situated?
The facilities of Donald G Elitt are physically located at the following address: 4585 Washington St, Florissant, MO, 630335858.
What is the area of specialization for Donald G Elitt, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Donald G Elitt is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124031612 to Donald G Elitt?
The Centers for Medicare & Medicaid Services assigned the 1124031612 to Donald G Elitt on 2006-08-14.
As of what date were the details related to Donald G Elitt most recently updated or revised?
The information pertaining to Donald G Elitt, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY