DR. David Alan Elledge, D.D.S.

NPI #1427140151 in Fulton, Missouri

Provider Information

NPI Number: 1427140151
Entity Type: Individual
Name: DR. David Alan Elledge, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2424 N BLUFF ST
City: Fulton
State: Missouri
ZIP Code: 65251-2709
Phone: (573) 642-2444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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