Thomas A. Elliott, D.d.s.

NPI #1326339888 in Columbia, Missouri

Provider Information

NPI Number: 1326339888
Entity Type: Organization
Organization Name: Thomas A. Elliott, D.d.s.
Primary Specialty: Dentist
Enumeration Date: May 2, 2011
Last Updated: May 2, 2011

Practice Location

Address: 2718 FORUM BLVD.
Address 2: SUITE 1
City: Columbia
State: Missouri
ZIP Code: 65203
Phone: (573) 446-1775

Authorized Official

Name: DR. THOMAS A ELLIOTT, D.D.S.
Title: OWNER
Phone: (573) 446-1775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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