# BRENDA M ELLIOTT DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brenda M. Elliott, DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023713922
- **Authorized official:** DR. BRENDA M ELLIOTT DDS (OWNER)
- **Authorized official phone:** (434) 369-6244

## Contact information

- **Practice address:** 1208 MAIN ST, ALTAVISTA, VA 24517-1434
- **Practice address phone:** (434) 369-6244
- **Mailing address:** 51 THREE CHOP CIR, ALTAVISTA, VA 24517-2132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2023
- **Last updated:** 04/03/2023