Individual provider · Type 1 NPI

John Edward Elliott, DDS

Periodontics · Corona, CA

NPI number 1912011099 Active

Practice location

900 S Main St Ste 104
Corona, CA 92882-3401

Mailing address

3405 E Austin Ave
Orange, CA 92869-5231

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDE 33281 (CA)

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.

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About NPI 1912011099

John Edward Elliott, DDS's National Provider Identifier is 1912011099, issued on Aug 18, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Corona, CA. The record was last updated on Jul 8, 2007.