# MITCHELL L. ELIAS, DDS

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

## Provider details

- **NPI number:** 1629281928
- **Authorized official:** DR. MITCHELL L. ELIAS DDS (OWNER)
- **Authorized official phone:** (973) 575-4700

## Contact information

- **Practice address:** 147 KONNER AVE, PINE BROOK, NJ 07058-9436
- **Practice address phone:** (973) 575-4700
- **Practice address fax:** (973) 575-7799
- **Mailing address:** 147 KONNER AVE, PO BOX 109, PINE BROOK, NJ 07058-9436
- **Mailing address phone:** (973) 575-4700
- **Mailing address fax:** (973) 575-7799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI00968200 | NJ | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 04/18/2011