Thomas J Elliott D.D.S. , P.C
Organization Active NPI Dental Clinic/Center · Cicero, IN
NPI 1013509934 · NPPES record last updated Feb 11, 2021
Key facts
- NPI
- 1013509934
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- THOMAS J ELLIOTT D.D.S. , P.C
- Practice address
- 17 W Jackson St
Cicero, IN 46034-5041 - Phone
- (317) 984-5676
- NPI assigned
- Feb 11, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas Elliott Sr., DDS
- Title
- Owner
- Phone
- (317) 984-5676
Practitioners 1
-
Thomas Jerry Elliott Sr., D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
17 W Jackson St
Cicero, IN 46034-5041
Mailing address
17 W Jackson St
Cicero, IN 46034-5041
Phone (317) 984-5676
Other providers in Cicero, IN
- Nancy Leah Shirley
- Lauren Christine Silva
- Jessica Dawn Smith
- Jeffery McCalla Stewart
- The Go Go Bus Transportation & Supportive Services, Inc
- White River Township Hamilton County
- Cara Woodruff
All providers in Cicero, IN · Dental Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.