Individual
DR. DAVID ALAN ELLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2424 N BLUFF ST, FULTON, MO 65251-2709
(573) 642-2444
Mailing address
1700 N CHAPMAN LN, COLUMBIA, MO 65202-3835
(573) 446-0909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12901
MO
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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