# JEFFREY A. ELO, DDS, MS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Coast Oral & Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558568311
- **Authorized official:** JEFFREY ALLAN ELO DDS, MS (ORAL & MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (714) 556-7000

## Contact information

- **Practice address:** 2740 S BRISTOL ST, SUITE 107, SANTA ANA, CA 92704-6209
- **Practice address phone:** (714) 556-7000
- **Mailing address:** 2740 S BRISTOL ST, SUITE 107, SANTA ANA, CA 92704-6209
- **Mailing address phone:** (714) 556-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 53209 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 08/30/2007