# ELITE ENDODONTICS PLLC

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

## Provider details

- **NPI number:** 1720629025
- **Authorized official:** DR. MICHAEL DYRIW DDS, MS (OWNER/ENDODONTIST)
- **Authorized official phone:** (317) 964-1273

## Contact information

- **Practice address:** 7518 HIGHWAY 70 S STE B, NASHVILLE, TN 37221-1847
- **Practice address phone:** (615) 669-2780
- **Mailing address:** 605 CALVERTON LN, BRENTWOOD, TN 37027-8979
- **Mailing address phone:** (317) 964-1273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2019
- **Last updated:** 10/08/2019
