Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS JERRY ELLIOTT SR., D.D.S.
Active Sole ProprietorGeneral Dentistry · CICERO, IN
Registration Details
- NPI Number
- 1689710170
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2007 (19.243446107823 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12008852 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17 WEST JACKSON ST.CICERO, IN, 46034Browse IN providers · Browse ZIP 46034
- Phone
- 3179845676
- Fax
- 3179845677
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in CICERO, IN
| Name | Credential | NPI |
|---|---|---|
| DOUGLAS MICHAEL HARTLEY | D.D.S. | 1023379443 |
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.