Elliott, Mary June
Elliott, Mary June is an individual health care provider with primary practice located at 3400 W Truman Blvd , Jefferson City MO 65109-5712. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Elliott, Mary June can be contacted via phone (573) 632-2777.Contact Information
Primary practice address
3400 W Truman Blvd
Jefferson City MO 65109-5712
Phone: (573) 632-2777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2016016878 | Missouri |
Profile Details
| NPI number | 1316395312 |
|---|---|
| LBN Legal business name | Elliott, Mary June |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2016 |
| Last updated | Jan 24th, 2017 - about 9 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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