DR. THOMAS JERRY ELLIOTT SR. (NPI# 1689710170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689710170 |
Entity Type | Individual |
Full Name | DR. THOMAS JERRY ELLIOTT SR. |
Credential | D.D.S. |
Practice Address |
17 West Jackson St. Cicero IN 46034 |
Practice Telephone | 3179845676 |
Practice Fax Number | 3179845677 |
Mailing Telephone | 3179845676 |
Mailing Fax Number | 3179845677 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
12008852 | IN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659634616 | Thomas A Elliott | Pharmacist | 7034 Eveningsong Dr, Huntington Beach, CA 92648-7005 | 2012-06-24 |
1215087143 | Thomas R Elliott | Surgery | 1980 W Hospital Dr Ste 300, Tucson, AZ 85704-7805 | 2007-01-11 |
1841307212 | Thomas Amos Elliott | Contractor | Pob 1191, 1113 Daingerfield St, Tappahannock, VA 22560-1191 | 2006-08-23 |
1609372606 | Thomas Robert Elliott | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Baltimore, MD 21287-0010 | 2018-03-30 |
1245638345 | Thomas Elliott | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2014-12-05 |
1366878274 | Thomas Scott Elliott | Pharmacist | 3325 Robinhood Rd, Winston Salem, NC 27106-5403 | 2013-09-24 |
1194976779 | Thomas N Elliott | Psychologist | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2008-10-01 |
1912116617 | Thomas Brice Elliott | Psychologist | 47 1st St, Redlands, CA 92373-4601 | 2007-05-21 |
1639222011 | Thomas Elliott | Dentist | 545 E 142nd St, Bronx, NY 10454-2110 | 2007-01-19 |
1740333913 | Thomas R. Elliott Jr. | Chiropractor | 7110 S Mingo Rd Ste 107, Tulsa, OK 74133-3273 | 2007-01-19 |
Street Address |
17 WEST JACKSON ST. |
City | CICERO |
State | IN |
Zip Code | 46034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548486905 | Mark R Montgomery | Dentist | 130 W Jackson St, Cicero, IN 46034 | 2007-04-17 |
1144285719 | Mary Angela Shirley | Social Worker | 209 S Peru St, Ste 210-211, Cicero, IN 46034 | 2006-04-18 |
1164486601 | Nancy Leah Shirley | Social Worker | 209 S Peru Street, Suite 210 211, Cicero, IN 46034 | 2006-04-13 |
1700867827 | Richard Edward Hayes | Family Medicine | 1160 S. Peru Street, S.r. 19, Cicero, IN 46034 | 2005-11-07 |
1306251897 | Jon Purkey | Specialist/Technologist | 230 Washington Avenue, Cicero, IN 46034-0321 | 2014-06-24 |
1477836070 | Myrtie B Mays | Specialist | 22345 Schulley Rd, Cicero, IN 46034-8800 | 2011-09-21 |
1609002724 | Hoosier Dentures & Dental Surgery, LLC | Clinic/Center | 1200 S Peru St, Cicero, IN 46034-9161 | 2009-06-03 |
1710549142 | Julie Baber | Technician | 1180 Coral Springs Dr, Cicero, IN 46034-9214 | 2019-07-05 |
1669592572 | Shelley Kunkel | Developmental Therapist | 1215 Coral Springs Dr, Cicero, IN 46034-9217 | 2007-04-02 |
1467572297 | Allison Labrie | Specialist | 1010 W Morse Dr, Cicero, IN 46034-9238 | 2007-03-29 |
Find all providers in zip 46034 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568712123 | Monil P Shah Dmd PC | Dentist | 5539 W Cermak Road, Cicero, IL 60804 | 2012-09-11 |
1780949461 | Aryn Nicole Pittman | Dentist | 2254 S Cicero Ave, Cicero, IL 60804-2411 | 2012-07-10 |
1558633958 | Arif Samee, Dds Chtd | Dentist | 1639 S Cicero Ave, Cicero, IL 60804-1520 | 2012-01-31 |
1154615557 | Timothy Jeffrey Rogers | Dentist | 6130 W Cermak Rd, Cicero, IL 60804-2025 | 2011-06-02 |
1184915415 | 3 Stone Dental | Dentist | 5663 E Circle Dr, Suite 600, Cicero, NY 13039-8907 | 2011-04-20 |
1447494646 | Precision Dental Care 2, LLC | Dentist | 5317 W Cermak Rd, Cicero, IL 60804-2817 | 2009-05-01 |
1043487432 | Allcare Dental & Dentures of Ny PC | Dentist | 5663 E Circle Dr # D 6/7, Suite 600, Cicero, NY 13039-8907 | 2008-05-14 |
1154533180 | Koushan Haidarzadeh Azad | Dentist | 2240 S Cicero Ave, Cicero, IL 60804-2411 | 2007-05-03 |
1568595551 | Jefferson Dental Services,p.c. | Dentist | 8397 Brewerton Rd (us Route 11), Cicero, NY 13039 | 2007-03-13 |
1669500112 | New Country Dental Group | Dentist | 5972 Route 31, Cicero, NY 13039 | 2007-02-28 |
Find all providers in CICERO |
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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.