Jeffrey Allan Elo in Pomona - Oral And Maxillofacial Surgery
Jeffrey Allan Elo - NPI 1891883880
Jeffrey Allan Elo is a Oral And Maxillofacial Surgery in Pomona, California. Jeffrey Allan Elo practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jeffrey Allan Elo is 1891883880. The last update date is 2018-05-21.
Jeffrey Allan Elo's current location address is 795 E Second Street, Pomona, California. You can contact this provider via phone number 9097063910. The mailing address for Jeffrey Allan Elo is 795 E Second Street, Pomona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Allan Elo |
|---|---|
| Address | 795 E Second Street, Pomona, California |
| Phone Number | 9097063910 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S, M.S |
NPI Number Detail
| NPI Number | 1891883880 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2018-05-21 |
Provider Mailing Address Detail
| Address | 795 E Second Street |
|---|---|
| City | Pomona |
| State | California (CA) |
| Post Code | 917662007 |
| Phone Number | 9097063910 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 53209 |
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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. |
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What is the unique 10-digit identifier code issued to Jeffrey Allan Elo by the Centers for Medicare & Medicaid Services?
The Jeffrey Allan Elo has been assigned the NPI (National Provider Identifier) 1891883880 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jeffrey Allan Elo's facilities are geographically located?
The facilities of Jeffrey Allan Elo are physically situated at the following location: 795 E Second Street, Pomona, CA, 917662007.
What is Jeffrey Allan Elo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Allan Elo's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891883880 to Jeffrey Allan Elo?
The Jeffrey Allan Elo received its 1891883880 assignment from the Centers for Medicare & Medicaid Services on 2006-10-11.
As of what date were the details related to Jeffrey Allan Elo most recently updated or revised?
The information pertaining to Jeffrey Allan Elo, including its address, specialty, and other relevant details, was last updated or revised on 2018-05-21.