Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELLIOTT T. DEWEESE, D.M.D., M.S.D.
Active Sole ProprietorDR. ELLIOTT T. DEWEESE, D.M.D., M.S.D. is a Periodontology healthcare provider located in HERMITAGE, Tennessee. NPI 1013304724 is currently active in the NPPES registry. Verify at CMS.
Periodontology · HERMITAGE, TN
Registration Details
- NPI Number
- 1013304724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2015 (11.344709259257 yrs)
- Last Updated
- Dec 12, 2022
- License
-
021-002881 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5651 FRIST BLVD STE 314HERMITAGE, TN, 370762057Browse TN providers · Browse ZIP 37076
- Phone
- 6153169872
- Fax
- 6158859065
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.