Individual
JODI LYNN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
949 DOLLY PARTON PKWY, SEVIERVILLE, TN 37862-3723
(865) 453-2890
Mailing address
1310 SMOKY CROSSING WAY, SEYMOUR, TN 37865-3906
(316) 650-5482
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10209
TN
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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