MICHAEL D ELLIOTT DMD PC (NPI# 1386939148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386939148 |
| Entity Type | Organization |
| Organization Name | MICHAEL D ELLIOTT DMD PC |
| Practice Address |
564 W 9th Pl Suite One Mesa AZ 85201-4069 |
| Practice Telephone | 4808338064 |
| Practice Fax Number | 4809628263 |
| Mailing Telephone | 4808338064 |
| Mailing Fax Number | 4809628263 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |
| Authorized Official Name | KRYSTLE WINKELMAN (MANAGER) |
| Authorized Official Telephone | 4808338064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2410 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 083353 | 05 | |
| AZ | DENTAL LICENSE | 2410 | 01 |
| Street Address |
564 W 9TH PL SUITE ONE |
| City | MESA |
| State | AZ |
| Zip Code | 85201-4069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894662 | M Kent Moore | Ophthalmology | 564 W 9th Pl, Ste 3, Mesa, AZ 85201-4069 | 2005-07-14 |
| 1760469787 | Michael Dotson Elliott | Dentist | 564 W 9th Pl, Suite 1, Mesa, AZ 85201-4069 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639483647 | William Lawrence Hull IIi | Dentist | 2855 E Brown Rd Ste 5, Mesa, AZ 85213 | 2010-08-02 |
| 1972823029 | Gregory Romney | Dentist | 6755 E Superstition Springs Blvd Ste 103, Mesa, AZ 85206-4375 | 2010-06-10 |
| 1497935514 | Brian Cahill, D.d.s., Inc | Dentist | 4540 E Baseline Rd Ste 101, Mesa, AZ 85206-4616 | 2007-11-06 |
| 1760098123 | Az Max Dental Implants Plc | Dentist | 6755 E Superstition Springs Blvd Ste 103, Mesa, AZ 85206-4375 | 2020-09-21 |
| 1528530284 | Az Max Surgeons Plc | Dentist | 6755 E Superstition Springs Blvd Ste 103, Mesa, AZ 85206-4375 | 2018-12-19 |
| 1053631309 | An Elegant Smile P.C. | Dentist | 1425 S Greenfield Rd, Bldg 2 Ste 110, Mesa, AZ 85206-5529 | 2010-06-09 |
| 1790828606 | Edward H Christensen | Dentist | 2855 E Brown Rd, Suite 15, Mesa, AZ 85213-4213 | 2007-02-14 |
| 1922168673 | Joseph Grant Johansen | Dentist | 3048 E Baseline Rd, Suite #105, Mesa, AZ 85204-7286 | 2006-12-11 |
| 1932132651 | Arizona Maxillofacial Surgeons, PC | Dentist | 6755 E Superstition Springs Blvd, Suite 103, Mesa, AZ 85206-4373 | 2006-07-08 |
| 1760469787 | Michael Dotson Elliott | Dentist | 564 W 9th Pl, Suite 1, Mesa, AZ 85201-4069 | 2005-12-30 |
| Find all providers in MESA | ||||
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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.