Individual
DR. ELLIOTT T. DEWEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D.
Contact information
Practice address
5651 FRIST BLVD STE 314, HERMITAGE, TN 37076-2057
(615) 316-9872
(615) 885-9065
Mailing address
5651 FRIST BLVD STE 314, HERMITAGE, TN 37076-2057
(615) 316-9872
(615) 885-9065
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021-002881
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2015
Last updated
12/12/2022
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