David F Elliott, DMD
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Jackson, NJ
NPI 1962653592 · NPPES record last updated Oct 1, 2008
Key facts
- NPI
- 1962653592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 22DIO1652800 (NJ)
- Practice address
- 10 S New Prospect Rd
Suite 23
Jackson, NJ 08527-1645 - Phone
- (732) 364-3322
- Fax
- (732) 364-7922
- NPI assigned
- Oct 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DIO1652800 | NJ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22DIO1652800 | NJ | Yes |
Addresses
Primary practice location
10 S New Prospect Rd
Suite 23
Jackson, NJ 08527-1645
Mailing address
10 S New Prospect Rd
Suite 23
Jackson, NJ 08527-1645
Phone (732) 364-3322
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- Ellen Berman,LCSW
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- EMS Billing Solutions LLC
- Enable Inc
- Encore Care Inc
All providers in Jackson, NJ · Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2008. 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.