Jerald E Elrod in Independence - Orthodontics And Dentofacial Orthopedics

Jerald E Elrod - NPI 1639108715

Jerald E Elrod is a Orthodontics And Dentofacial Orthopedics in Independence, Missouri. Jerald E Elrod practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jerald E Elrod is 1639108715. The last update date is 2007-07-08.

Jerald E Elrod's current location address is 17500 Medical Center Pkwy, Independence, Missouri. You can contact this provider via phone number 8163736006 and fax number 8163731840. The mailing address for Jerald E Elrod is 17500 Medical Center Pkwy, Independence, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerald E Elrod
Address 17500 Medical Center Pkwy, Independence, Missouri
Phone Number 8163736006
Fax Number 8163731840
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1639108715
Provider Enumeration Date 2006-07-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 17500 Medical Center Pkwy
City Independence
State Missouri (MO)
Post Code 640571823
Phone Number 8163736006
Fax Number 8163731840

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 11437
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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FAQs about Jerald E Elrod

What is the unique 10-digit identification code issued to Jerald E Elrod by the Centers for Medicare & Medicaid Services?

The Jerald E Elrod has been assigned the NPI (National Provider Identifier) 1639108715 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Jerald E Elrod located?

The Jerald E Elrod is located at 17500 Medical Center Pkwy, Independence, MO 640571823.

What is Jerald E Elrod's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jerald E Elrod is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.

On what date did the Jerald E Elrod receive its 1639108715 assignment from the Centers for Medicare & Medicaid Services?

The Jerald E Elrod was assigned its 1639108715 by the Centers for Medicare & Medicaid Services on 2006-07-01.

As of what date were the details related to Jerald E Elrod most recently updated or revised?

The information pertaining to Jerald E Elrod, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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