# ELLIOT PROFESSIONAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELLIOT PROFESSIONAL SERVICES
- **Other names:** ELLIOT OMS CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255314951
- **Legal business name:** ELLIOT PROFESSIONAL SERVICES
- **Authorized official:** RICHARD P. HERMAN (DIRECTOR OF OPERATIONS AND FINANCE)
- **Authorized official phone:** (603) 663-4904

## Contact information

- **Practice address:** 1 ELLIOT WAY, ELLIOT OMS CENTER, MANCHESTER, NH 03103-3502
- **Practice address phone:** (603) 625-8462
- **Practice address fax:** (603) 669-2711
- **Mailing address:** 1 ELLIOT WAY, ELLIOT OMS CENTER, MANCHESTER, NH 03103-3502
- **Mailing address phone:** (603) 625-8462
- **Mailing address fax:** (603) 669-2711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2005
- **Last updated:** 06/20/2008