Dr. Timothy J Elliott Dmd, PC

NPI #1366708372 in Portland, Oregon

Provider Information

NPI Number: 1366708372
Entity Type: Organization
Organization Name: Dr. Timothy J Elliott Dmd, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 3, 2012
Last Updated: Apr 3, 2012

Practice Location

Address: 202 NE 181ST AVE STE A
City: Portland
State: Oregon
ZIP Code: 97230-6664
Phone: (503) 661-6111

Authorized Official

Name: TIMOTHY J ELLIOTT
Title: OWNER
Phone: (503) 661-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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