Individual
DR. BYRON KEITH ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
122 E WATAUGA AVE, JOHNSON CITY, TN 37601-4628
(423) 232-5770
(423) 232-5771
Mailing address
122 E WATAUGA AVE, JOHNSON CITY, TN 37601-4628
(423) 232-5770
(423) 232-5771
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7026
TN
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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