Organization
THOMAS J ELLIOTT D.D.S. , P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ELLIOTT SR. DDS (OWNER)
(317) 984-5676
Entity
Organization
Contact information
Practice address
17 W JACKSON ST, CICERO, IN 46034-5041
(317) 984-5676
Mailing address
17 W JACKSON ST, CICERO, IN 46034-5041
(317) 984-5676
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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