Robert Mills Elliott, DDS
Individual provider Active NPI General Practice Dentistry · Taos, NM
NPI 1124054358 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124054358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1665 (NM)
- Practice address
- 1090 Goat Springs Road
Taos, NM 87571 - Phone
- (505) 758-4224
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1665 | NM | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1665 | NM | Yes |
Addresses
Primary practice location
1090 Goat Springs Road
Taos, NM 87571
Mailing address
14 Los Cordovas Dr
Ranchos de Taos, NM 87557-8760
Phone (505) 751-3143
Other providers in Taos, NM
- Eight Northern Indian Pueblos Council, Inc.
- El Centro Family Health
- El Centro Family Health
- El Centro Family Health
- Meredith Benton Eley
- Travis Ely
- Melinda Encinias-Leyba
- Delores Anne Endres
- Alicia B Esparza
- Aspen Flowers Espinosa
All providers in Taos, NM · General Practice Dentistry in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.