DR. Thomas Jerry Elliott SR., D.D.S.

NPI #1689710170 in Cicero, Indiana

Provider Information

NPI Number
1689710170
Entity Type
Individual
Name
DR. Thomas Jerry Elliott SR., D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jan 30, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
17 WEST JACKSON ST.
City
Cicero
State
Indiana
ZIP Code
46034
Phone
(317) 984-5676

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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