ELLIOT W SALLOWAY DMD INC NPI 1164440517

NPI Information

ELLIOT W SALLOWAY DMD INC is a periodontics dentist in Worcester, MA. The provider is 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. ELLIOT W SALLOWAY DMD INC NPI is 1164440517. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 ELM ST
STE 203
WORCESTER, MA
ZIP 01609
Phone: (508) 752-1302
Fax: (508) 753-5801

The provider's authorized official is Elliot W Salloway .
The authorized official title is President Treasurer and has the following contact phone number (508) 752-1302.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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