William S Elliott, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5407 Issued in OR

Practice address

1017 Molalla Ave
Suite 1
Oregon City, OR 97045-3739

Phone

(503) 657-7770

Fax

(503) 657-9832

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John M Gallucci DMD PC

  • General Practice Dentistry
  • Oregon City, OR
  • NPI 1194125351
  NPD (past)
• Michelle R. Bloemers, DMD, LLC

  • Dental Clinic/Center
  • Oregon City, OR
  • NPI 1477311488
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1790783710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 MOLALLA AVE",
            "address_2": "SUITE 1",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453739",
            "telephone_number": "503-657-7770",
            "fax_number": "503-657-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 MOLALLA AVE",
            "address_2": "SUITE 1",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453739",
            "telephone_number": "503-657-7770",
            "fax_number": "503-657-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "5407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Catherine Elam, FNP-C
• Sally Eliason, MSW
• Suzanne B Elich, PT, CERT. MDT
• Stacie Elkins
• Kelly Kay Ellam
• Sarah Emad-Eldien Elsherbeny, ND
• David C Emch, PA-C
• Emergency Medicine Specialists LLC
• David S Enciso
• Suzanna J Engber, COTA

• Dentist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.