Individual
DR. JERALD E ELROD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17500 MEDICAL CENTER PKWY, SUITE 2, INDEPENDENCE, MO 64057-1823
(816) 373-6006
(816) 373-1840
Mailing address
17500 MEDICAL CENTER PKWY, SUITE 2, INDEPENDENCE, MO 64057-1823
(816) 373-6006
(816) 373-1840
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11437
MO
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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