Individual provider · Type 1 NPI
Elliott T. Deweese, DMD, M.S.D.
Periodontics · Hermitage, TN
NPI number
1013304724
Active
Practice location
5651 Frist Blvd Ste 314
Hermitage, TN 37076-2057
Fax (615) 885-9065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Periodontics Primary | 1223P0300X | 021-002881 (IL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1013304724
Elliott T. Deweese, DMD, M.S.D.'s National Provider Identifier is 1013304724, issued on Apr 20, 2015. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Hermitage, TN. The record was last updated on Dec 12, 2022.