ELMORE JR DDS PLLC NPI 1093331209

NPI Information

  • NPI: 1093331209
  • Provider Name: ELMORE JR DDS PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: ABOUT FACE COLLABORATIVE
  • Address: 4414 LAKE BOONE TRL STE 111
    RALEIGH, NC
    ZIP 27607
  • Phone: (804) 387-7002

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NPI Details

ELMORE JR DDS PLLC is a pediatric dentistry dentist in Raleigh, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ELMORE JR DDS PLLC NPI is 1093331209. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As About Face Collaborative.

The provider's business location address is:

4414 LAKE BOONE TRL STE 111
RALEIGH, NC
ZIP 27607-514
Phone: (804) 387-7002

The provider's authorized official is Jasmine R Elmore .
The authorized official title is President/ceo and has the following contact phone number (252) 916-5875.

The enumeration date for this NPI number is 6/23/2020 and was last updated on 5/9/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeNo
21223P0221XDentistPediatric DentistryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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