DR. DONALD G ELITT (NPI# 1124031612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124031612 |
| Entity Type | Individual |
| Full Name | DR. DONALD G ELITT |
| Credential | DDS, MS |
| Practice Address |
4585 Washington St Florissant MO 63033-5858 |
| Practice Telephone | 3148374800 |
| Mailing Telephone | 3148374800 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
11993 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE LICENSE NUMBER | 11993 | 01 |
| Street Address |
4585 WASHINGTON ST |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63033-5858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636009 | Kim L Mcdonald | Internal Medicine | 4585 Washington St, Suite C4, Florissant, MO 63033-5858 | 2005-08-18 |
| 1730433566 | Joyce Lynn Dubea | Counselor | 4585 Washington St, Florissant, MO 63033-5858 | 2012-10-31 |
| 1972886836 | Cory Scanlon Glowczewski | Dentist | 4585 Washington St, Suite A-3, Florissant, MO 63033-5858 | 2011-09-27 |
| 1124324140 | Administrative Support Services Group Inc | Health Maintenance Organization | 4585 Washington St, Suite A1, Florissant, MO 63033-5858 | 2011-02-09 |
| 1942504105 | Angela M Bryant | Social Worker | 4585 Washington St, Suite A4, Florissant, MO 63033-5858 | 2011-01-03 |
| 1912220096 | Paul Stanley Mace | Dentist | 4585 Washington St, Suite A 5, Florissant, MO 63033-5858 | 2010-03-03 |
| 1023348489 | Mark Hilton | Dentist | 4585 Washington St, C-3, Florissant, MO 63033-5858 | 2010-01-07 |
| 1164666178 | Brenda L Grant | Licensed Practical Nurse | 4585 Washington St, Suite A-4, Florissant, MO 63033-5858 | 2009-04-22 |
| 1801069463 | Alternative Options Counseling & Wellness Center Inc | Community/Behavioral Health | 4585 Washington St, Suite A4, Florissant, MO 63033-5858 | 2008-04-03 |
| 1184892028 | Gateway Oral and Maxillofacial Surgeons of St Louis, P.C. | Dentist | 4585 Washington St, Suite B4, Florissant, MO 63033-5858 | 2008-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376191841 | Victoria Crews | Technician | 13114 Tree's Edge Ct, Black Jack, MO 63033 | 2019-08-28 |
| 1275195976 | Herbal Envy Spa LLC | Home Health Aide | 12630 Shoreside Drive, Florissant, MO 63033 | 2019-07-02 |
| 1689231169 | Patrice Edora Hall | Clinic/Center | 500 Greenway Manor, Florissant, MO 63033 | 2019-05-21 |
| 1689153082 | Sew St. Louis LLC | Specialist | 2172 N Waterford Dr, Florissant, MO 63033 | 2018-08-07 |
| 1508344706 | Rekendra Farmer | Home Health | 3070 Kingsley Dr, Florissant, MO 63033 | 2018-07-31 |
| 1033616594 | B & J Consumer Directed Services | Home Health | 5 Farm Country Ct, Florissant, MO 63033 | 2018-04-11 |
| 1245740265 | Trusting Hands Home Health Services LLC | Home Health | 2430 Dresden Dr, Florissant, MO 63033 | 2017-10-04 |
| 1194243477 | Betty Moore | Registered Nurse | 2875 Devonshire Dr, Florissant, MO 63033 | 2017-09-06 |
| 1467976118 | Imperial Home Care, LLC | Home Health | 11674 Arroyo Dr, Florissant, MO 63033 | 2017-08-02 |
| 1194248492 | Apex Home Health Care Services LLC | Home Health | 3145 Kingsley Dr, Florissant, MO 63033 | 2017-07-19 |
| Find all providers in zip 63033 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376014852 | Catherine Loner | Dentist | 1470 S New Florissant Rd, Florissant, MO 63031-8198 | 2018-12-10 |
| 1881821809 | Gateway Orthodontics | Dentist | #14 Grandview Plaza, Florissant, MO 63033 | 2009-06-17 |
| 1629259379 | Angela Dianne Kling | Dentist | 1470 S Florissant Road, Florissant, MO 63031-8198 | 2007-11-23 |
| 1356421101 | Ernst Martin Taeger | Dentist | 4137 N Us Hwy 67, Florissant, MO 63034 | 2006-10-16 |
| 1265537443 | Richard J White Dds LLC | Dentist | 1265 Graham Road, Suite C, Florissant, MO 63031 | 2006-09-13 |
| 1871697185 | Kling Orthodontics Inc | Dentist | 1470 S New Florissant Road, Florissant, MO 63031-8198 | 2006-09-08 |
| 1679564173 | Joseph Milton Dorsey Jr. | Dentist | 14 Grandview Plaza Shopping Ctr, Florissant, MO 63033-6105 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878034 | Soh of Missouri Samson Liu PC | Dentist | 810 Ofallon Rd Ste 70, Weldon Spring, MO 63304-8107 | 2020-10-16 |
| 1952918054 | Candid Missouri, LLC | Dentist | 7431 Broadway, Kansas City, MO 64114-1529 | 2020-09-23 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1780140459 | Evan W Brown Dds Inc | Dentist | 160 Four Seasons Shopping Ctr, Chesterfield, MO 63017-3104 | 2019-02-18 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1699281121 | St Louis South Orthodontics | Dentist | 9911 Kennerly Rd Ste H, Saint Louis, MO 63128-2700 | 2017-12-20 |
| 1023557766 | Uncommon Orthodontics By William A. Pickard, Dds, Ms, Pllc | Dentist | 2330 S Range Line Rd Ste E, Joplin, MO 64804-3267 | 2017-02-14 |
| 1023556743 | Mark Humphrey | Dentist | 8657 Old Bonhomme Rd, Saint Louis, MO 63132-3901 | 2017-02-01 |
| 1912458688 | Jerry F. Cash | Dentist | 2844 S Ingram Mill Rd, Springfield, MO 65804-4042 | 2016-10-18 |
| 1386191401 | Branson Lyle Billings | Dentist | 8600 Tom Watson Pkwy., Ste. 101, Parkville, MO 64152 | 2016-09-07 |
| Find all providers with the same taxonomy | ||||
| City | FLORISSANT |
| Zip Code | 63033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.