# ANDY ELLIOTT DMD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386220010
- **Authorized official:** DR. OLIN ANDREW ELLIOTT II DMD (PRESIDENT)
- **Authorized official phone:** (606) 285-9317

## Contact information

- **Practice address:** 196 KY HWY 3188, LANGLEY, KY 41645
- **Practice address phone:** (606) 285-9317
- **Mailing address:** PO BOX 1381, MARTIN, KY 41649-1381
- **Mailing address phone:** (606) 285-9317
- **Mailing address fax:** (606) 285-4842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2021
- **Last updated:** 03/23/2021