DR. Jerald E Elrod I, DDS
NPI #1639108715 in Independence, Missouri
Provider Information
- NPI Number
- 1639108715
- Entity Type
- Individual
- Name
- DR. Jerald E Elrod I, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS
- Enumeration Date
- Jul 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 17500 MEDICAL CENTER PKWY
- Address 2
- SUITE 2
- City
- Independence
- State
- Missouri
- ZIP Code
- 64057-1823
- Phone
- (816) 373-6006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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