Elledge, Scott

Elledge, Scott is an individual health care provider with primary practice located at 1496 S Saint Francis Dr , Santa Fe NM 87505-4038. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Elledge, Scott can be contacted via phone (505) 983-4491.

Contact Information

Primary practice address
1496 S Saint Francis Dr Santa Fe NM 87505-4038
Phone: (505) 983-4491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD3288 New Mexico
Dental Providers / General Practice 1223G0001X DD3288 New Mexico

Profile Details

NPI number 1952620338
LBN Legal business name Elledge, Scott
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2010
Last updated May 24th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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