Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN MICHAEL ELLIOTT, DMD
ActiveDR. KEVIN MICHAEL ELLIOTT, DMD is a Dentist healthcare provider located in CASCADE, Idaho. NPI 1104910199 is currently active in the NPPES registry. Verify at CMS.
Dentist · CASCADE, ID
Registration Details
- NPI Number
- 1104910199
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.90263206158 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D3826 (ID)
Practice Information
- Address
-
220 S MAIN STCASCADE, ID, 86311Browse ID providers · Browse ZIP 86311
- Phone
- 2083823558
- Fax
- 2083823668
- Primary Specialty
-
Dentist
122300000X
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.