Individual provider · Type 1 NPI
Edious K. Elliot, DMD
Oral and Maxillofacial Surgery (Dentist) · Manlius, NY
NPI number
1639434665
Active
Practice location
8240 Cazenovia Rd Ste 60
Manlius, NY 13104-8814
Fax (315) 692-0449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI02507400 (NJ) |
| Anesthesiology Physician | 207L00000X | DA031767 (PA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DS040658 (PA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
About NPI 1639434665
Edious K. Elliot, DMD's National Provider Identifier is 1639434665, issued on Jul 5, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Manlius, NY. The record was last updated on Jul 6, 2021.