Individual
PATRICK J ELBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1495 COOPER FOSTER PARK RD, AMHERST, OH 44001-1202
(440) 282-5501
(440) 282-5576
Mailing address
1495 COOPER FOSTER PARK RD, AMHERST, OH 44001-1202
(440) 282-5501
(440) 282-5576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-019672
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0896651
—
OH
Enumeration date
10/19/2006
Last updated
07/08/2007
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