DR. Jesse Elledge, DDS

NPI #1285100776 in Columbia Falls, Montana

Provider Information

NPI Number: 1285100776
Entity Type: Individual
Name: DR. Jesse Elledge, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 23, 2018
Last Updated: Sep 24, 2021

Practice Location

Address: 105 NUCLEUS AVE
City: Columbia Falls
State: Montana
ZIP Code: 59912-4010
Phone: (530) 446-4714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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